Clinical Summary
A 52-year-old woman presented in out-patient clinic for the follow-up of
a left ventricular thrombus after an anterior myocardial infarction due
to chronic occlusion of distal left anterior descending artery three
months earlier. She was treated conservatively and myocardial viability
diagnostics were planned. Transthoracic echocardiography revealed a
moderate left ventricular function and a free wall rupture contained by
an apical pseudoaneurysm (Figure 1A, asterisk). Computed tomography of
the heart confirmed the presence of a partially thrombosed left
ventricular pseudoaneurysm (Figure 1B, asterisk). The patient underwent
cardiac surgery. After the resection of the aneurysm (Figure 1C),
endoventricular patch plasty (Dor) technique was applied for exclusion
of the rupture with a double patch (Figure 1D). The patient recovered
fully and remained asymptomatic. Follow-up echocardiography (Figure 1E)
and magnetic resonance imaging (Figure 1F) showed a good left
ventricular function without intracardiac thrombus and excluded apical
pseudoaneurysm (Figure 1E and 1F, arroheads).