RT Journal Article
SR Electronic
T1 Unruptured left ventricular pseudoaneurysm following myocardial infarction
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 94
OP 97
DO 10.1136/hrt.80.1.94
VO 80
IS 1
A1 Hung, M-J
A1 Wang, C-H
A1 Cherng, W-J
YR 1998
UL http://heart.bmj.com/content/80/1/94.abstract
AB A 73 year old man developed a left ventricular pseudoaneurysm following acute myocardial infarction. Coronary angiography showed triple vessel disease with total occlusion of the right coronary artery. On left ventriculography, a serpentine-like pseudoaneurysm was demonstrated that originated from the posterobasal wall of the left ventricle and extended to the right ventricular free wall. He underwent coronary artery bypass surgery with no plication of the pseudoaneurysm. An organised thrombus was also found within the cavity of the pseudoaneurysm. He was doing well approximately eight months after the operation. The prognosis might be determined by the organised thrombus, the serpentine-like structure of pseudoaneurysm, the coronary revascularisation, and the vigorous medical management.