Ruptured left ventricular pseudoaneurysm in the mediastinum following acute myocardial infarction: a case report

European Journal of Medical Research

Ping Yang¹  Dongmei Gao¹  Kaiyao Shi¹  Daoyuan Si¹ 

[1] Department of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, 130021, China

关键词: Myocardial infarction;    Coronary disease;    Aneurysm;   

Others  :  820203
DOI  :  10.1186/2047-783X-18-2

 received in 2012-08-03, accepted in 2012-12-14,  发布年份 2013

【 摘 要 】

Left ventricular pseudoaneurysm is an uncommon complication after transmural acute myocardial infarction (AMI). Here we describe the case of a 43-year-old man who presented with AMI and chest distress despite the normal appearance of his coronary artery during coronary angiography. Timely thrombolytic therapy was administered. Echocardiography, and cardiac computed tomography showed a ventricular pseudoaneurysm, and direct visualization at the time of surgery showed that it had ruptured in the mediastinum instead of the pericardium. The survival rate of patients with ventricular pseudoaneurysm rupture is low. The rupture of ventricular pseudoaneurysm in the mediastinum is rare; therefore, this case is noteworthy.

【 授权许可】

   
2013 Si et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Mackenzie JW, Lemole GM: Pseudoaneurysm of the left ventricle. Tex Heart Inst J 1994, 21:296-301.
• [2]Eren E, Bozbuga N, Toker ME, Keles C, Rabus MB, Yildirim O, Guler M, Balkanay M, Isik O, Yakut C: Surgical treatment of post-infarction left ventricular pseudoaneurysm: a two-decade experience. Tex Heart Inst J 2007, 34:47-51.
• [3]Kocak H, Becit N, Ceviz M, Unlu Y: Left ventricular pseudoaneurysm after myocardial infarction. Hear Vessel 2003, 18:160-162.
• [4]Frances C, Romero A, Grady D: Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998, 32:557-561.
• [5]Hoey DR, Kravitz J, Vanderbeek PB, Kelly JJ: Left ventricular pseudoaneurysm causing myocardial infarction and cerebrovascular accident. J Emerg Med 2005, 28:431-435.
• [6]Niimura H, Mito T, Matsunaga A, Koga S, Akasu K, Morishige N, Tashiro T, Saku K: Left ventricular pseudoaneurysm following acute myocardial infarction. Intern Med 2006, 45:1221-1223.
• [7]Pollak H, Nobis H, Mlczoch J: Frequency of left ventricular free wall rupture complicating acute myocardial infarction since the advent of thrombolysis. Am J Cardiol 1994, 74:184-186.
• [8]Zoffoli G, Mangino D, Venturini A, Terrini A, Asta A, Zanchettin C, Polesel E: Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature. J Cardiothorac Surg 2009, 4:11. BioMed Central Full Text
• [9]Atik FA, Navia JL, Vega PR, Gonzalez-Stawinski GV, Alster JM, Gillinov AM, Svensson LG, Pettersson BG, Lytle BW, Blackstone EH: Surgical treatment of postinfarction left ventricular pseudoaneurysm. Ann Thorac Surg 2007, 83:526-531.