Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management
Left ventricular pseudoaneurysm is a rare but dangerous complication, which occurs in the early post myocardial infarction period. Small pseudoaneurysms are not fatal, while large ones cause death due to sudden rupture and cardiac tamponade if surgery is not performed on time. As left ventricular ps...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Interna Publishing
2023-01-01
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| Series: | Acta Medica Indonesiana |
| Subjects: | |
| Online Access: | https://actamedindones.org/index.php/ijim/article/view/1787 |
| _version_ | 1797855051980472320 |
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| author | Nina Solomakhina Alexey Lishuta Ekaterina Gladysheva Anna Dementeva |
| author_facet | Nina Solomakhina Alexey Lishuta Ekaterina Gladysheva Anna Dementeva |
| author_sort | Nina Solomakhina |
| collection | DOAJ |
| description | Left ventricular pseudoaneurysm is a rare but dangerous complication, which occurs in the early post myocardial infarction period. Small pseudoaneurysms are not fatal, while large ones cause death due to sudden rupture and cardiac tamponade if surgery is not performed on time. As left ventricular pseudoaneurysm is uncommon in population, only few case reports were found in the published literature. In this article, we present a case of left ventricular pseudoaneurysm in a 79-year-old female patient after a silent posterolateral myocardial infarction, which increased to gigantic size for 3 months and was diagnosed accidentally by transthoracic echocardiography. Since the patient refused surgical treatment, the difficulties in deciding on the management of the patient based on a review of the literature is described. The main goal of this case is to describe the 6-month survival rate of a 79-year-old female patient with left ventricular pseudoaneurysm after silent posterolateral myocardial infarction despite refusal of surgical treatment and extremely low adherence to drug treatment due to cognitive impairment. |
| first_indexed | 2024-04-09T20:16:17Z |
| format | Article |
| id | doaj.art-4951f767f49042608968897a877e2eb5 |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-04-09T20:16:17Z |
| publishDate | 2023-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-4951f767f49042608968897a877e2eb52023-03-31T07:05:07ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322023-01-01551571Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and ManagementNina Solomakhina0Alexey Lishuta1Ekaterina Gladysheva2Anna Dementeva3Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian FederationDepartment of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian FederationDepartment of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian FederationVeterans Affairs Hospital 1, Moscow, Russian FederationLeft ventricular pseudoaneurysm is a rare but dangerous complication, which occurs in the early post myocardial infarction period. Small pseudoaneurysms are not fatal, while large ones cause death due to sudden rupture and cardiac tamponade if surgery is not performed on time. As left ventricular pseudoaneurysm is uncommon in population, only few case reports were found in the published literature. In this article, we present a case of left ventricular pseudoaneurysm in a 79-year-old female patient after a silent posterolateral myocardial infarction, which increased to gigantic size for 3 months and was diagnosed accidentally by transthoracic echocardiography. Since the patient refused surgical treatment, the difficulties in deciding on the management of the patient based on a review of the literature is described. The main goal of this case is to describe the 6-month survival rate of a 79-year-old female patient with left ventricular pseudoaneurysm after silent posterolateral myocardial infarction despite refusal of surgical treatment and extremely low adherence to drug treatment due to cognitive impairment.https://actamedindones.org/index.php/ijim/article/view/1787left ventricular pseudoaneurysmechocardiographydiagnosisprognosis |
| spellingShingle | Nina Solomakhina Alexey Lishuta Ekaterina Gladysheva Anna Dementeva Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management Acta Medica Indonesiana left ventricular pseudoaneurysm echocardiography diagnosis prognosis |
| title | Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management |
| title_full | Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management |
| title_fullStr | Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management |
| title_full_unstemmed | Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management |
| title_short | Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management |
| title_sort | giant left ventricular pseudoaneurysm in a 79 year old female patient diagnostic and management |
| topic | left ventricular pseudoaneurysm echocardiography diagnosis prognosis |
| url | https://actamedindones.org/index.php/ijim/article/view/1787 |
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