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Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction

Background: According to the World Health Organization, cardiovascular disease is the number one cause of death globally, claiming millions of lives each year with an increasing prevalence. Myocardial infarction (MI) makes up a large sum of these deaths each year. While MI in itself is lethal, there...

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Autores principales: Douedi, Steven, Alfraji, Nasam, Upadhyaya, Vandan D., Odak, Mihir, Meleka, Matthew, Raza, Muhammad R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7570278/
https://www.ncbi.nlm.nih.gov/pubmed/32906639
http://dx.doi.org/10.3390/jcdd7030034
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author Douedi, Steven
Alfraji, Nasam
Upadhyaya, Vandan D.
Odak, Mihir
Meleka, Matthew
Raza, Muhammad R.
author_facet Douedi, Steven
Alfraji, Nasam
Upadhyaya, Vandan D.
Odak, Mihir
Meleka, Matthew
Raza, Muhammad R.
author_sort Douedi, Steven
collection PubMed
description Background: According to the World Health Organization, cardiovascular disease is the number one cause of death globally, claiming millions of lives each year with an increasing prevalence. Myocardial infarction (MI) makes up a large sum of these deaths each year. While MI in itself is lethal, there are several complications that can increase the morbidity and mortality of an MI, such as left ventricular wall rupture and aneurysms. Case Presentation: We present a case of an elderly male with an extensive cardiac history who presented with a non-ST segment myocardial infarction (NSTEMI) managed with percutaneous coronary intervention. Hours after, he became hemodynamically unable and was found to have a pseudoaneurysm of the left ventricle. Despite aggressive efforts, his pseudoaneurysm ruptured and he ultimately succumbed to his condition. Conclusions: Left ventricular pseudoaneurysm is usually seen after myocardial infarctions with a rupture rate of up to 45% leading to a mortality rate of about 50%. While cardiac catheterization with left ventriculography is the gold standard for diagnosis, echocardiography can also be used as an alternative. Treatment is emergent cardiac surgery but still holds a high operative risk. Therefore, patients may be medically stabilized and managed prior to ultimate surgical intervention.
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spelling pubmed-75702782020-10-28 Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction Douedi, Steven Alfraji, Nasam Upadhyaya, Vandan D. Odak, Mihir Meleka, Matthew Raza, Muhammad R. J Cardiovasc Dev Dis Case Report Background: According to the World Health Organization, cardiovascular disease is the number one cause of death globally, claiming millions of lives each year with an increasing prevalence. Myocardial infarction (MI) makes up a large sum of these deaths each year. While MI in itself is lethal, there are several complications that can increase the morbidity and mortality of an MI, such as left ventricular wall rupture and aneurysms. Case Presentation: We present a case of an elderly male with an extensive cardiac history who presented with a non-ST segment myocardial infarction (NSTEMI) managed with percutaneous coronary intervention. Hours after, he became hemodynamically unable and was found to have a pseudoaneurysm of the left ventricle. Despite aggressive efforts, his pseudoaneurysm ruptured and he ultimately succumbed to his condition. Conclusions: Left ventricular pseudoaneurysm is usually seen after myocardial infarctions with a rupture rate of up to 45% leading to a mortality rate of about 50%. While cardiac catheterization with left ventriculography is the gold standard for diagnosis, echocardiography can also be used as an alternative. Treatment is emergent cardiac surgery but still holds a high operative risk. Therefore, patients may be medically stabilized and managed prior to ultimate surgical intervention. MDPI 2020-09-07 /pmc/articles/PMC7570278/ /pubmed/32906639 http://dx.doi.org/10.3390/jcdd7030034 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Douedi, Steven
Alfraji, Nasam
Upadhyaya, Vandan D.
Odak, Mihir
Meleka, Matthew
Raza, Muhammad R.
Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title_full Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title_fullStr Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title_full_unstemmed Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title_short Pseudoaneurysm Development after Free Wall Rupture Post Myocardial Infarction
title_sort pseudoaneurysm development after free wall rupture post myocardial infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7570278/
https://www.ncbi.nlm.nih.gov/pubmed/32906639
http://dx.doi.org/10.3390/jcdd7030034
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