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LEFT VENTRICULAR PSEUDOANEURYSM - A COMPLICATION OF ACUTE MYOCARDIAL INFARCTION
  • +2
  • Adnaldo Maia,
  • Rafael Tajra,
  • Adrian Rivadeneira,
  • Iuri António,
  • Antônio de Almeida
Adnaldo Maia
Dante Pazzanese Cardiological Institute
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Rafael Tajra
Dante Pazzanese Cardiological Institute
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Adrian Rivadeneira
Dante Pazzanese Cardiological Institute
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Iuri António
Dante Pazzanese Cardiological Institute
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Antônio de Almeida
Dante Pazzanese Cardiological Institute
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Abstract

Left ventricular pseudoaneurysm is a complication of acute myocardial infarction, especially after involvement of the inferior wall. The signs and symptoms are nonspecific. We report a case of a 69-year-old patient admitted for clinically important dyspnea. Transthoracic echocardiography showed pseudoaneurysm in the apical region, measuring 96x116 mm. Surgical correction was performed, using bovine pericardium and anchoring the ventricular orifice with 3-0 polypropylene sutures. It was not possible to perform coronary artery bypass grafting, as the distal beds of the proposed vessels were calcified. The patient was referred to the intensive care unit and discharged on the 17th postoperative day.