Post-MI giant left ventricular pseudoaneurysm presenting wit
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Introduction:
Left ventricle (LV) pseudoaneurysm is a contained cardiac rupture, which is sealed by layers of organized thrombus and hematoma. It is encircled by a thin layer of adherent pericardium without any myocardial layer, which makes it susceptible to rupture. The clinical presentation of pseudoaneurysm is variable. A timely diagnosis and early surgical treatment are key factors in the management. We hereby report an unusual case of giant LV pseudoaneurysm in a 42-year-old man following anterior wall myocardial infarction (MI). The role of various imaging modalities and the surgical treatment of pseudoaneurysm are discussed.

Case report
A 42-year-old male had an acute anterior wall MI in March 2012. During the inpatient admission at a local hospital, he had hemorrhagic pericardial effusion with tamponade, which was drained by pigtail catheter insertion. At 2 mo of follow-up, he was diagnosed as having a large LV pseudoaneurysm, for which he was referred to our center for further management.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505850/
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