Author/Authors :
Hawatmeh، Amer نويسنده Department of Cardiology, Saint Michael’s Medical Center,
New York Medical College, New York, United States , , Abu Arqoub، Ahmad نويسنده Department of Cardiology, Saint Michael’s Medical Center,
New York Medical College, New York, United States , , Jmeian، Ashraf نويسنده Department of Cardiology, Saint Michael’s Medical Center,
New York Medical College, New York, United States , , Isbitan، Ahmad نويسنده Department of Cardiology, Saint Michael’s Medical Center,
New York Medical College, New York, United States , , Shamoon، Fayez نويسنده Department of Cardiology, Saint Michael’s Medical Center,
New York Medical College, New York, United States ,
Abstract :
Left ventricular pseudoaneurysm; also referred to as contained left
ventricular wall rupture, is a rare complication that is reported in
about 0.2 to 0.3 percent of all myocardial infarction patients. Since it
has a high risk of fatal rupture, early surgical repair is recommended
once pseudoaneurysm is diagnosed. In this case report, we are describing
a case of a left ventricular inferior wall pseudoaneurysm which was
diagnosed by angiography, and was complicated by rupture and cardiac
tamponade shortly after the patient received a powered assisted left
ventricular angiogram. This case exemplifies that pseudoaneurysm
represents a part of the ongoing process of ventricular rupture, that
begins with a small tear in the endocardium and then extends to the
myocardium and the pericardial cavity, causing hemopericardium and
cardiac tamponade. Therefore, earlier recognition and urgent surgical
repair can be lifesaving.
