Azraai Meor, Ajani Andrew E
Royal Melbourne Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Victoria, Australia.
Royal Melbourne Hospital, Melbourne, Australia; NHMRC Centre of Clinical Research Excellence in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; University of Melbourne, Melbourne, Victoria, Australia.
Cardiovasc Revasc Med. 2020 Jan;21(1):145-146. doi: 10.1016/j.carrev.2019.05.030. Epub 2019 Jun 12.
We present a case of a 90 year-old-patient who presented with syncope. She had previous inferior acute myocardial infarction 10 years ago. Coronary angiography revealed left ventricular pseudoaneurysm, which was confirmed on cardiac computed tomography. The patient refused surgical repair and implantable cardioverter defibrillator insertion and was discharged from the hospital alive. This case demonstrates the possibility of long-term survival with left ventricular pseudoaneurysm and the increasing detection of 'incidental' left ventricular pseudoaneurysm with more frequent use of imaging.
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