A 55-year-old male patient was admitted to the hospital due to "recurrent chest pain for 8 months, with worsening symptoms for 2 weeks". After admission, comprehensive relevant examinations led to the consideration of a giant chronic left ventricular pseudoaneurysm caused by myocardial infarction with non-obstructive coronary arteries. Surgical treatment was performed at our hospital. We discuss the diagnosis and treatment of this patient.
Citation：
ZOU Wanwan, BIAN Enze, ZHU Qikun, YANG Song, ZHUANG Weizhong, GUO Huiming, TENG Yun, GAO Qiang. Giant chronic left ventricular pseudoaneurysm following myocardial infarction with non-obstructive coronary arteries: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(12): 1865-1866. doi: 10.7507/1007-4848.202411022
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Torchio F, Garatti A, Ronco D, et al. Left ventricular pseudoaneurysm: The niche of post-infarction mechanical complications. Ann Cardiothorac Surg, 2022, 11(3): 290-298.
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Giavarini A, Ippolito S, Tagliasacchi MI, et al. A rescued left ventricle free wall rupture in MINOCA. Eur Heart J, 2021, 42(14): 1446.
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Reynolds HR, Diaz A, Cyr DD, et al. Ischemia with nonobstructive coronary arteries: Insights from the ISCHEMIA trial. JACC Cardiovasc Imaging, 2023, 16(1): 63-74.
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Sucato V, Comparato F, Ortello A, et al. Myocardical infarction with non-obstructive coronary arteries (MINOCA): Pathogenesis, diagnosis and treatment. Curr Probl Cardiol, 2024, 49(7): 102583.
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| 5. |
Iosifescu AG, Iosifescu TA, Timisescu AT, et al. Left ventricular pseudoaneurysms discovered early after acute myocardial infarction: the surgical timing dilemma. Tex Heart Inst J, 2022, 49(5): e207462.
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- 1. Torchio F, Garatti A, Ronco D, et al. Left ventricular pseudoaneurysm: The niche of post-infarction mechanical complications. Ann Cardiothorac Surg, 2022, 11(3): 290-298.
- 2. Giavarini A, Ippolito S, Tagliasacchi MI, et al. A rescued left ventricle free wall rupture in MINOCA. Eur Heart J, 2021, 42(14): 1446.
- 3. Reynolds HR, Diaz A, Cyr DD, et al. Ischemia with nonobstructive coronary arteries: Insights from the ISCHEMIA trial. JACC Cardiovasc Imaging, 2023, 16(1): 63-74.
- 4. Sucato V, Comparato F, Ortello A, et al. Myocardical infarction with non-obstructive coronary arteries (MINOCA): Pathogenesis, diagnosis and treatment. Curr Probl Cardiol, 2024, 49(7): 102583.
- 5. Iosifescu AG, Iosifescu TA, Timisescu AT, et al. Left ventricular pseudoaneurysms discovered early after acute myocardial infarction: the surgical timing dilemma. Tex Heart Inst J, 2022, 49(5): e207462.
