Case Report
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World J Cardiol. Nov 26, 2012; 4(11): 309-311
Published online Nov 26, 2012. doi: 10.4330/wjc.v4.i11.309
Post-myocardial infarction giant left ventricular pseudoaneurysm presenting with severe heart failure
Rajesh Vijayvergiya, Alok Kumar, Sandeep S Rana, Harkant Singh, Goverdhan D Puri, Manphool Singhal
Rajesh Vijayvergiya, Alok Kumar, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Sandeep S Rana, Harkant Singh, Department of Cardiac Surgery, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Goverdhan D Puri, Department of Anesthesia, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Manphool Singhal, Department of Radio-diagnosis, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Author contributions: All the authors were actively involved in management of the index case.
Correspondence to: Dr. Rajesh Vijayvergiya, MD, DM, FSCAI, FACC, FISES, Associate Professor, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: August 31, 2012
Revised: November 16, 2012
Accepted: November 22, 2012
Published online: November 26, 2012
Abstract

Left ventricle (LV) pseudoaneurysm is a late mechanical complication of myocardial infarction. A giant LV pseudoaneurysm is a rare presentation. We report a case of giant LV pseudoaneurysm in a post-MI patient who presented with gross congestive heart failure. The patient had a successful surgical repair of the aneurysm and had a favorable 3-mo outcome. The imaging modality and surgical treatment of the pseudoaneurysm are discussed.

Keywords: Congestive heart failure; Left ventricle pseudoaneurysm; Myocardial infarction; Surgical repair