A Case of Asymptomatic Left Ventricular Pseudoaneurysm after Myocardial Infarction

Left ventricular pseudoaneurysms are result of localized rupture of myocardium. The etiologies of pseudo-aneurysm are mainly transmural myocardial infarction, myocarditis, tuberculosis, syphilis, blunt or penestrating chest trauma and various types of cardiac surgery. It is important to be aware of any characteristic clinical, radiographic, echocardiographic or angiographic features, which distinguish pseudoaneurysm from true aneurysm. Pseudoaneurysm has a relatively high incidence of cardiac rupture than true aneurysm. Therefore, a surgical repair is mandatory in most cases of left ventricular pseudoaneurysm. We report a case of 71-year-old male with coronary artery disease of 3 vessel and asymptomatic left ventricular pseudoaneurysm after silent myocardial infarction.