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Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm

Pseudo-aneurysms are a rare, potentially life-threatening complication of a myocardial infarction. We present the case of a 45-year-old male who was brought to the emergency department in extremis and had a previous history of a late presentation inferior ST-elevation myocardial infarction treated p...

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Autores principales: Hinton, Jonathan, Hunter, George, Dissanayake, Madhava, Hatrick, Rob
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766756/
https://www.ncbi.nlm.nih.gov/pubmed/31579523
http://dx.doi.org/10.1530/ERP-19-0018
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author Hinton, Jonathan
Hunter, George
Dissanayake, Madhava
Hatrick, Rob
author_facet Hinton, Jonathan
Hunter, George
Dissanayake, Madhava
Hatrick, Rob
author_sort Hinton, Jonathan
collection PubMed
description Pseudo-aneurysms are a rare, potentially life-threatening complication of a myocardial infarction. We present the case of a 45-year-old male who was brought to the emergency department in extremis and had a previous history of a late presentation inferior ST-elevation myocardial infarction treated percutaneously. Clinical examination revealed evidence of cardiogenic shock, pulmonary edema and a pulsatile epigastric mass. Chest X-ray demonstrated marked cardiomegaly and pulmonary edema. Urgent echocardiography confirmed the presence of a huge basal inferior wall pseudo-aneurysm with bi-directional flow. This was also associated with severe mitral regurgitation, due to posterior mitral annular involvement. The patient was transferred to the local cardiothoracic surgical unit where he underwent emergency repair of the pseudo-aneurysm and mitral valve replacement. Despite the surgery being complex he made a full recovery.
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spelling pubmed-67667562019-10-02 Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm Hinton, Jonathan Hunter, George Dissanayake, Madhava Hatrick, Rob Echo Res Pract Case Report Pseudo-aneurysms are a rare, potentially life-threatening complication of a myocardial infarction. We present the case of a 45-year-old male who was brought to the emergency department in extremis and had a previous history of a late presentation inferior ST-elevation myocardial infarction treated percutaneously. Clinical examination revealed evidence of cardiogenic shock, pulmonary edema and a pulsatile epigastric mass. Chest X-ray demonstrated marked cardiomegaly and pulmonary edema. Urgent echocardiography confirmed the presence of a huge basal inferior wall pseudo-aneurysm with bi-directional flow. This was also associated with severe mitral regurgitation, due to posterior mitral annular involvement. The patient was transferred to the local cardiothoracic surgical unit where he underwent emergency repair of the pseudo-aneurysm and mitral valve replacement. Despite the surgery being complex he made a full recovery. Bioscientifica Ltd 2019-08-29 /pmc/articles/PMC6766756/ /pubmed/31579523 http://dx.doi.org/10.1530/ERP-19-0018 Text en © 2019 The authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Hinton, Jonathan
Hunter, George
Dissanayake, Madhava
Hatrick, Rob
Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title_full Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title_fullStr Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title_full_unstemmed Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title_short Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
title_sort acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766756/
https://www.ncbi.nlm.nih.gov/pubmed/31579523
http://dx.doi.org/10.1530/ERP-19-0018
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