Left ventricular pseudoaneurysm after myocardial infarction detected by cardiac MRI. (25th November 2014)

• Record Type: Journal Article
• Authors: Orsborne, Christopher; Schmitt, Matthias
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-11-25
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-207277
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction. Acutely, it has an extremely high rate of mortality, especially if undetected. Chronically, there is paucity of data on how to manage the pathology, especially if detected as an incidental finding. We present a unique case of initially undetected LVFWR in a patient who presented with repeated chest pain. Cardiac MRI enabled the diagnosis and localisation of the original site of LVFWR and provided highly relevant volume calculations. Measurement of both absolute and virtual volumes indicated that aneurysm resection, including the original site of rupture, was surgically feasible without reducing postoperative stroke volume.