Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management

Authors

  • Nina Solomakhina Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation
  • Alexey Lishuta Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation http://orcid.org/0000-0003-3391-0193
  • Ekaterina Gladysheva Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation
  • Anna Dementeva Veterans Affairs Hospital 1, Moscow, Russian Federation

Keywords:

left ventricular pseudoaneurysm, echocardiography, diagnosis, prognosis

Abstract

Left ventricular pseudoaneurysm is a rare but dangerous complication, which occurs in the early post myocardial infarction period. Small pseudoaneurysms are not fatal, while large ones cause death due to sudden rupture and cardiac tamponade if surgery is not performed on time. As left ventricular pseudoaneurysm is uncommon in population, only few case reports were found in the published literature. In this article, we present a case of left ventricular pseudoaneurysm in a 79-year-old female patient after a silent posterolateral myocardial infarction, which increased to gigantic size for 3 months and was diagnosed accidentally by transthoracic echocardiography. Since the patient refused surgical treatment, the difficulties in deciding on the management of the patient based on a review of the literature is described. The main goal of this case is to describe the 6-month survival rate of a 79-year-old female patient with left ventricular pseudoaneurysm after silent posterolateral myocardial infarction despite refusal of surgical treatment and extremely low adherence to drug treatment due to cognitive impairment.

Author Biographies

Nina Solomakhina, Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation

Department of hospital-based therapy I. Sklifosovsky Institute for Clinical MedicineProfessor

Alexey Lishuta, Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation

Department of hospital-based therapy I. Sklifosovsky Institute for Clinical MedicineAssociate Professor

Ekaterina Gladysheva, Department of Hospital-based Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Sklifosovsky Institute for Clinical Medicine, Moscow, Russian Federation

Department of hospital-based therapy I. Sklifosovsky Institute for Clinical Medicine Assistant

Anna Dementeva, Veterans Affairs Hospital 1, Moscow, Russian Federation

Department of ultrasound and functional diagnosticsPhysician 

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Published

2023-03-31

How to Cite

Solomakhina, N., Lishuta, A., Gladysheva, E., & Dementeva, A. (2023). Giant Left Ventricular Pseudoaneurysm in a 79-Year-Old Female Patient: Diagnostic and Management. Acta Medica Indonesiana, 55(1), 70. Retrieved from https://actamedindones.org/index.php/ijim/article/view/1787

Issue

Vol. 55 No. 1 (2023): Acta Medica Indonesiana

Section

CASE REPORT

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