Ventricular Pseudoaneurysm After Myocardial Infarction: A Case Report

• Author(s): Máximo, José ; Pissarra, Diana ; Pinheiro Torres, José ; Almeida, Jorge ; Pinho, Paulo
• Date: 2023
• Origin: Portuguese Journal of Cardiac Thoracic and Vascular Surgery
• Document Type: Journal article
• Language: English

Description

A 66-year-old female patient was admitted to hospital care in March 2021 due to aggravating fatigue and dyspnoea. Her past medical history was relevant for chronic anaemia, smoking, dyslipidaemia, antiphospholipid syndrome and lupus-like mixed connective tissue disease, for which she was taking corticosteroids. She had suffered an acute coronary syndrome in August 2020, complicated with postinfarction pericarditis; at the time, coronariography diagnosed moderate disease of the anterior descending artery and occlusion of the circumflex artery. Echocardiography showed a discontinuity in the lateral and posterior walls of the left ventricle to a thin walled, loculated cavity, with doppler blood flow (Figure 1). A diagnosis of pseudoaneurysm was assumed, and the patient was transferred to our centre for surgical treatment.