Silent Left Ventricular Pseudoaneurysm and Rupture to a Second Pseudoaneurysm

Left ventricular pseudoaneurysm is usually associated with myocardial infarction and ventricular wall rupture, although it can also be associated with other pathological conditions. Rupture causes shock, and death if not repaired urgently. We report the very rare case of a man with coronary lesions...

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Bibliographic Details
Published in:Revista española de cardiología (English ed.) 2005-09, Vol.58 (9), p.1127-1129
Main Authors: Marcos-Gómez, Gonzalo, Merchán-Herrera, Antonio, Gómez-Barrado, José J., de la Concepción-Palomino, Francisco, Vega-Fernández, Jorge, López-Minguezb, José R.
Format: Article
Language:English
Subjects:
Cardiac rupture
Imagen
Imaging
Infarto de miocardio
Myocardial infarction
Pseudoaneurysm
Rotura cardíaca
Seudoaneurisma
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Summary:Left ventricular pseudoaneurysm is usually associated with myocardial infarction and ventricular wall rupture, although it can also be associated with other pathological conditions. Rupture causes shock, and death if not repaired urgently. We report the very rare case of a man with coronary lesions that resulted in a silent myocardial infarction with rupture of the myocardial wall and the subsequent development of a large, posterolateral, left ventricular pseudoaneurysm. This was followed by rupture of the primary pseudoaneurysm and the consequent creation of a second pseudoaneurysm, which finally resulted in shock and death. El seudoaneurisma ventricular izquierdo se asocia principalmente con infarto de miocardio y rotura de la pared libre del ventriculo izquierdo, aunque puede asociarse a otras afecciones. La rotura del seudoaneurisma causa el colapso y la defunción si no se interviene de forma temprana. Presentamos un caso poco frecuente del aneurisma ventricular izquierdo en un paciente con lesiones coronarias que desencadenan un infarto de miocardio silente con rotura de la pared libre, creación de un gran seudoaneurisma posterolateral y rotura de la primera bolsa seudoaneurismática con creación de una segunda, lo cual provocó shock y el fallecimiento del paciente.
ISSN:1885-5857
1885-5857
DOI:10.1016/S1885-5857(06)60445-3