Publication Date
12-6-2023
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-23-8269
PMID
38073437
Publication Date(s)
November 2023
Language
English
PMCID
PMC10751473
PubMedCentral® Posted Date
12-11-2023
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Male, Humans, Aged, Ventricular Septal Rupture, Aneurysm, False, Myocardial Infarction, Heart Ventricles, Heart Aneurysm
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Left ventricular pseudoaneurysm with a left-to-right shunt is extremely rare, requiring surgery if symptomatic; however, surgery has a high risk. Here, the case of a 77-year-old man with heart failure symptoms is reported, in which he develops a giant left ventricular pseudoaneurysm 16 months after ventricular septal perforation repair as a result of acute myocardial infarction, with mild shunt blood flow from the pseudoaneurysm to the right ventricle. Intraoperative findings showed a free wall rupture along the area where the patch was secured during the initial surgery. The patient was discharged on postoperative day 13, and postoperative examination revealed no abnormalities.