Korean Circ J.  1999 Dec;29(12):1357-1361. 10.4070/kcj.1999.29.12.1357.

A Case of Asymptomatic Left Ventricular Pseudoaneurysm after Myocardial Infarction

• Kim KH
• Yoon JH
• Kim JY
• Lee HH
• Ko JY
• Lee BK
• Yoo BS
• Lee SH
• Choe KH
• Hong IS

• KMID: 2228830
• DOI: http://doi.org/10.4070/kcj.1999.29.12.1357

Abstract

Left ventricular pseudoaneurysms are result of localized rupture of myocardium. The etiologies of pseudo-aneurysm are mainly transmural myocardial infarction, myocarditis, tuberculosis, syphilis, blunt or penestrating chest trauma and various types of cardiac surgery. It is important to be aware of any characteristic clinical, radiographic, echocardiographic or angiographic features, which distinguish pseudoaneurysm from true aneurysm. Pseudoaneurysm has a relatively high incidence of cardiac rupture than true aneurysm. Therefore, a surgical repair is mandatory in most cases of left ventricular pseudoaneurysm. We report a case of 71-year-old male with coronary artery disease of 3 vessel and asymptomatic left ventricular pseudoaneurysm after silent myocardial infarction.

Keyword

Myocardial infarction; Pseudoaneurysm

MeSH Terms

Aged
Aneurysm
Aneurysm, False*
Coronary Artery Disease
Echocardiography
Heart Rupture
Humans
Incidence
Male
Myocardial Infarction*
Myocarditis
Myocardium
Rupture
Syphilis
Thoracic Surgery
Thorax
Tuberculosis