ISSN 2412-4036 (print)
ISSN 2713-1823 (online)

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

Yagoda A.V., Gladkikh N.N., Koroy P.V., Kozakova S.A.

Stavropol State Medical University of the Ministry of Healthcare of Russia
Abstract. 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.

Keywords

false cardiac aneurysm
myocardial infarction
polymorbid patient

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About the Authors

Alexander V. Yagoda, MD, Dr. Sci. (Medicine), professor, head of the Department of hospital therapy, Stavropol State Medical University of the Ministry of Healthcare of Russia, Honored Scientist of the Russian Federation. Address: 355017, Stavropol, 310 Mira St.
E-mail: alexander.yagoda@gmail.com
ORCID: https://orcid.org/0000-0002-5727-1640. Scopus ID: 57196568868. eLibrary SPIN: 9651-9754
Natalya N. Gladkikh, MD, Dr. Sci. (Medicine), professor, professor of the Department of hospital therapy, Stavropol State Medical University of the Ministry of Healthcare of Russia. Address: 355017, Stavropol, 310 Mira St.
E-mail: ngladkih@mail.ru
ORCID: https://orcid.org/0000-0003-4510-3604. Scopus ID: 57194322671. eLibrary SPIN: 6761-2965
Pavel V. Koroy, MD, Dr. Sci. (Medicine), professor, professor of the Department of hospital therapy, Stavropol State Medical University of the Ministry of Healthcare of Russia. Address: 355017, Stavropol, 310 Mira St.
E-mail: paule75@yandex.ru
ORCID: https://orcid.org/0000-0001-6392-8461. Scopus ID: 56288630200. eLibrary SPIN: 3313-7866
Svetlana A. Kozakova, MD, PhD (Medicine), associate professor of the Department of hospital therapy, Stavropol State Medical University of the Ministry of Healthcare of Russia. Address: 355017, Stavropol, 310 Mira St.
E-mail: kozakova.76@mail.ru
ORCID: https://orcid.org/0009-0004-4747-2715. eLibrary SPIN: 8461-8276

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