Giant posterobasal pseudoaneurysm: An unusual presentation of inferior wall myocardial infarction

Abstract

Left ventricular pseudoaneurysm although a rare complication following acute myocardial infarction, is associated with high mortality if left untreated. We report a case of a 55-year-old male patient who developed a giant pseudoaneurysm in the posterobasal region of the left ventricle following inferior wall myocardial infarction.Our patient presented 9 days after an acute coronary event with episodic chest pain and worsening dyspnea. Twelve lead electrocardiogram revealed Q waves in inferior leads and echocardiography showed a giant pseudoaneurysm in the posterobasal region of the left ventricle. He was managed medically and discharged on personal request.

Keywords

• Myocardial infarction
• Pseudoaneurysm
• Post infarction