Rupture of the free wall of the left ventricle in myocardial infarction with the formation of pseudoaneurysm: A case of successful conservative treatment

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Resumo

A clinical case of acutely developed false left ventricle (LV) aneurysm in the area of a true aneurysm of the cardiac apex in an elderly polymorbid patient with repeated myocardial infarction, previously stented, having angiographic signs of occlusion of the anterior interventricular artery and critical stenosis of two more arterial branches is presented. Initial clinical manifestations of pseudoaneurysm include cerebrovascular accident of cardioembolic genesis, recurrent pain syndrome, rapid decrease of the left ventricular ejection fraction, and a multiple increase in the level of C-reactive protein. Typical for a false aneurysm blood flow in the cavity, was quickly limited by the formation of thrombotic masses with simultaneous stabilization of the condition and improvement of echocardiographic hemodynamic parameters. After rehabilitation stage, the patient maintains physical and age-appropriate intellectual activity for more than a year.

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Sobre autores

Alexander Yagoda

Stavropol State Medical University

Autor responsável pela correspondência
Email: alexander.yagoda@gmail.com
ORCID ID: 0000-0002-5727-1640
Código SPIN: 9651-9754
Scopus Author ID: 57196568868

MD, Dr. Sci. (Medicine), Professor, Head of the Department of Hospital Therapy

Rússia, 310, Mir St., Stavropol, 355017

Natalia Gladkikh

Stavropol State Medical University

Email: ngladkih@mail.ru
ORCID ID: 0000-0003-4510-3604
Código SPIN: 6761-2965
Scopus Author ID: 57194322671

MD, Dr. Sci. (Medicine), Professor of the Department of Hospital Therapy

Rússia, 310, Mir St., Stavropol, 355017

Pavel Koroy

Stavropol State Medical University

Email: paule75@yandex.ru
ORCID ID: 0000-0001-6392-8461
Código SPIN: 3313-7866
Scopus Author ID: 56288630200

MD, Dr. Sci. (Medicine), Professor of the Department of Hospital Therapy

Rússia, 310, Mir St., Stavropol, 355017

Svetlana Kozakova

Stavropol State Medical University

Email: kozakova.76@mail.ru
ORCID ID: 0009-0004-4747-2715
Código SPIN: 8461-8276

MD, PhD (Medicine), Associate Professor of the Department of Hospital Therapy

Rússia, 310, Mir St., Stavropol, 355017

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