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Left Ventricular Pseudo-aneurysm with Ventricular Septal Perforation after Acute Myocardial Infarction: a Case Report and Review of Literature
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  • Muzheng Li,
  • Na Liu,
  • Jiang Liu,
  • Jianjun Tang,
  • Xiaobo Liao,
  • Wanyun Zuo,
  • Mohan Li,
  • Qiming Liu
Muzheng Li
Second Xiangya Hospital
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Na Liu
Second Xiangya Hospital
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Jiang Liu
Second Xiangya Hospital
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Jianjun Tang
Second Xiangya Hospital
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Xiaobo Liao
Second Xiangya Hospital
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Wanyun Zuo
Second Xiangya Hospital
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Mohan Li
Second Xiangya Hospital
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Qiming Liu
Second Xiangya Hospital
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Abstract

We report a case with left ventricular pseudo-aneurysm and ventricular septal perforation after acute myocardial infarction. A 77-year-old man was admitted because of repeated chest distress and chest pain for 1 week, which was diagnosed by an electrocardiogram with acute anteroseptal ST-segment elevation myocardial infarction and troponin T elevation. The transthoracic echocardiography and cardiac magnetic resonance showed the left ventricular apical pseudo-aneurysm and lower segment of ventricular septal perforation, and confirmed by left ventriculography. Surgical treatment was performed, with operation procedure successfully. In this article, we report a rare case in clinical and review the literatures of left ventricular pseudo-aneurysm.