Author/Authors :
Ramos Barbosa, Roberto Department of Cardiology - Santa Casa de Misericórdia de Vitória Hospital, itória, ES, Brazil , Miguel Sassine, Assad Department of Cardiology - Santa Casa de Misericórdia de Vitória Hospital, itória, ES, Brazil , Batista Rolim, Vitor Martinelli Department of Cardiology - Santa Casa de Misericórdia de Vitória Hospital, itória, ES, Brazil , Dall’Orto Lima, Pietro Department of Cardiology - Santa Casa de Misericórdia de Vitória Hospital, itória, ES, Brazil , Judice de Mattos Farina, Eduardo Moreno School of Medicine of Santa Casa de Misericórdia, Bela Vista, Vitória, ES, Brazil , Machado Barbosa, Luiz Fernando Department of Cardiology - Santa Casa de Misericórdia de Vitória Hospital, itória, ES, Brazil
Abstract :
Left ventricle pseudoaneurysm is usually a severe complication of acute myocardial infarction, caused by rupture of the myocardial
wall with pericardium bleeding. Mortality can reach 50 to 80% within a week if not properly treated. Hemodynamic instability,
cardiac tamponade, and cardiac arrest are life-threatening presentations that require surgical treatment. We report a case of a
man with a left ventricle chronic giant pseudoaneurysm and unspecific symptoms. After critical judgement on a heart team
basis, surgical treatment was successfully performed, with a good long-term clinical outcome.