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Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report
A ventricular aneurysm can be pseudo or true; it is a rare complication of myocardial infarction induced by an intra-myocardial dissecting hematoma due to fragile myocardium. Ventricular wall rupture takes place two to four days after myocardial infarction when coagulative necrosis and inflammatory...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551642/ https://www.ncbi.nlm.nih.gov/pubmed/36237811 http://dx.doi.org/10.7759/cureus.29017 |
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author | Meshram, Raviprakash Vaibhav, Vikas Agrawal, Shruti Khorwal, Gitanjali Sharma, Kshitiza |
author_facet | Meshram, Raviprakash Vaibhav, Vikas Agrawal, Shruti Khorwal, Gitanjali Sharma, Kshitiza |
author_sort | Meshram, Raviprakash |
collection | PubMed |
description | A ventricular aneurysm can be pseudo or true; it is a rare complication of myocardial infarction induced by an intra-myocardial dissecting hematoma due to fragile myocardium. Ventricular wall rupture takes place two to four days after myocardial infarction when coagulative necrosis and inflammatory infiltrate and lysis of myocardial connective tissue results in weakening of infarcted myocardium. Acute cardiac wall ruptures are mostly fatal; an unwittingly located pericardial adhesion can abort a rupture resulting in a false aneurysm. The wall of a false aneurysm consists of the epicardium in contrast to a true aneurysm, which is composed of the myocardium. True aneurysms are complications seen in transmural infarcts. Thinned-out scar tissue paradoxically bulged during systole, and toughened fibrotic wall rupture doesn't usually occur. Deaths in subjects with true ventricular aneurysms occur due to mural thrombus, arrhythmias, and heart failure. We encountered a case of a true aneurysm, as reported below. |
format | Online Article Text |
id | pubmed-9551642 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-95516422022-10-12 Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report Meshram, Raviprakash Vaibhav, Vikas Agrawal, Shruti Khorwal, Gitanjali Sharma, Kshitiza Cureus Cardiology A ventricular aneurysm can be pseudo or true; it is a rare complication of myocardial infarction induced by an intra-myocardial dissecting hematoma due to fragile myocardium. Ventricular wall rupture takes place two to four days after myocardial infarction when coagulative necrosis and inflammatory infiltrate and lysis of myocardial connective tissue results in weakening of infarcted myocardium. Acute cardiac wall ruptures are mostly fatal; an unwittingly located pericardial adhesion can abort a rupture resulting in a false aneurysm. The wall of a false aneurysm consists of the epicardium in contrast to a true aneurysm, which is composed of the myocardium. True aneurysms are complications seen in transmural infarcts. Thinned-out scar tissue paradoxically bulged during systole, and toughened fibrotic wall rupture doesn't usually occur. Deaths in subjects with true ventricular aneurysms occur due to mural thrombus, arrhythmias, and heart failure. We encountered a case of a true aneurysm, as reported below. Cureus 2022-09-11 /pmc/articles/PMC9551642/ /pubmed/36237811 http://dx.doi.org/10.7759/cureus.29017 Text en Copyright © 2022, Meshram et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Meshram, Raviprakash Vaibhav, Vikas Agrawal, Shruti Khorwal, Gitanjali Sharma, Kshitiza Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title | Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title_full | Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title_fullStr | Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title_full_unstemmed | Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title_short | Myocardial Infarction With Ventricular Wall Aneurysm: A Case Report |
title_sort | myocardial infarction with ventricular wall aneurysm: a case report |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551642/ https://www.ncbi.nlm.nih.gov/pubmed/36237811 http://dx.doi.org/10.7759/cureus.29017 |
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