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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Bioscientifica Ltd
2019
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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. |
format | Online Article Text |
id | pubmed-6766756 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Bioscientifica Ltd |
record_format | MEDLINE/PubMed |
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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