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CASE REPORT
Left ventricular pseudoaneurysm formation in a patient presenting with a subacute myocardial infarction
  1. Crochan John O’Sullivan,
  2. Daniela Groza,
  3. Franz R Eberli
  1. Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland
  1. Correspondence to Dr Crochan John O’Sullivan, crosullivan{at}hotmail.com

Summary

Left ventricular pseudoaneurysm is a rare mechanical complication of acute myocardial infarction. In the present case, an 80-year-old man presenting with a subacute non-ST segment elevation myocardial infarction was found to have an occluded second obtuse marginal branch of the left circumflex coronary artery. Following the implantation of two drug-eluting stents, the patient developed no-reflow phenomenon. Coronary angiography 6 weeks later revealed persistence of the no-reflow phenomenon. During the left ventriculogram, a massive pseudoaneurysm was diagnosed and the patient successfully underwent emergency surgery. The persistence of no-reflow was likely due to the fact that the myocardial territory supplied by the infarct-related artery was completely necrosed resulting in persistent flow impairment through the vessel.

  • interventional cardiology
  • ischaemic heart disease
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Footnotes

  • Contributors Authors contributed as following. Drafting of the manuscript (COS). Revising the manuscript critically for important intellectual content (COS, DG, FE). Final approval of the manuscript submitted (all authors).

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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