Author + information
- Received June 27, 2012
- Accepted July 5, 2012
- Published online February 26, 2013.
An 81-year-old man with known coronary disease and prior single-vessel coronary artery bypass grafting surgery presented with shortness of breath on moderate exertion. An extensive lateral wall infarct with free wall rupture into a large pseudoaneurysm sac (11 × 7 × 6 cm) (A to C, white arrows) was identified by transthoracic echocardiography (A), cardiac computed tomography (B), and cardiac magnetic resonance imaging (C). Delayed enhancement imaging showed an extensive scar (D, black arrow) within the left ventricular free wall. “To-and-fro” flow (E to H) between the left ventricle and the pseudoaneurysm sac was clearly evident by transthoracic echocardiography (E, F, Online Video 1) and cardiac magnetic resonance imaging (G, H, Online Video 2). Surgical repair of the left ventricular free wall was performed successfully using a bovine pericardial patch to repair the defect (I). The aneurysm sac was then sutured around this to buttress the closure. Subsequently, the patient made an uneventful recovery.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received June 27, 2012.
- Accepted July 5, 2012.
- American College of Cardiology Foundation