Post-infarction left ventricular pseudoaneurysm with septal rupture: a case report
Yerekesh B. Nurumova Z. Assylbekova A. Tuleutayev R. Gebel D. Sani L. Altybayeva S. Turemuratova A.
2025African Field Epidemiology Network
Pan African Medical Journal
2025#52
Despite advances in reperfusion therapy, acute myocardial infarction may still lead to rare, lifethreatening mechanical complications. We describe the case of a 58-year-old man who developed progressive heart failure two months after an untreated anterior myocardial infarction. Multimodality imaging demonstrated a large left ventricular apical pseudoaneurysm with postinfarction ventricular septal rupture into the right ventricle, resulting in a significant left-to-right shunt. The patient underwent successful aneurysmectomy, closure of the septal defect, and coronary artery bypass grafting. This report highlights a rare combination of mechanical complications following delayed reperfusion and emphasizes the essential role of imaging in diagnosis and surgical planning. Given its rarity and complexity, this case contributes to the understanding of structural sequelae of myocardial infarction.
cardiac surgery , case report , coronary artery bypass , pseudoaneurysm , Ventricular septal rupture
Text of the article Перейти на текст статьи
Department of Radiology and Cardiac Surgery, Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
Department of Radiology, Almaty City Emergency Hospital, Almaty, Kazakhstan
Department of Radiology and Cardiac Surgery
Department of Radiology
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026