Cardiovascular Journal of Africa: Vol 30 No 1 (January/February 2019)

CARDIOVASCULAR JOURNAL OF AFRICA • Volume 30, No 1, January/February 2019

AFRICA

Case Report

Delayed left ventricular pseudo-aneurysm after post-

infarction repair of ventricular septal defect

Yun-Seok Song, Sang-Hoon Seol, Seunghwan Kim, Dong-Kie Kim, Ki-Hun Kim, Doo-Il Kim,

Hee-Jae Jun

Abstract

Left ventricular pseudo-aneurysm is a rare complication that

usually occurs after myocardial infarction or cardiac surgery.

Sometimes it is related to cardiac rupture. We report on surgi-

cal management for a left ventricular pseudo-aneurysm that

developed four years after surgery for ventricular septal defect

in a patient with acute myocardial infarction.

Keywords:

pseudo-aneurysm, ventricular septal defect, myocar-

dial infarction

Submitted 20/12/17, accepted 1/10/18

Published online 6/11/18

Cardiovasc J Afr

2019;

: e1–e3

www.cvja.co.za

DOI: 10.5830/CVJA-2018-049

Left ventricular (LV) pseudo-aneurysm or false aneurysm is

a free-wall rupture contained by pericardial adhesion or the

epicardial wall. Although the most common cause is myocardial

infarction (MI), it can occur after heart surgery, trauma or

infection.

1,2

We report on a case of a 77-year-old woman with LV

pseudo-aneurysm after post-infarction repair of a ventricular

septal defect (VSD).

Case report

A 77-year-old woman with a history of post-infarction repair of

VSD was noted on regular check-up echocardiography to have

an extra-cardiac mass. She had no symptoms. Four years earlier,

she had presented with acute anterior wall MI with VSD and

Division of Cardiology, Inje University College of Medicine,

Haeundae Paik Hospital, Busan, Korea

Yun-Seok Song, MD

Sang-Hoon Seol, MD,

shseol@paik.ac.kr

Seunghwan Kim, MD

Dong-Kie Kim, MD

Ki-Hun Kim, MD

Doo-Il Kim, MD

Division of Thoracic Surgery, Inje University College of

Medicine, Haeundae Paik Hospital, Busan, Korea

Hee-Jae Jun, MD

Fig. 1.

Transthoracic echocardiography in the apical two-chamber view reveals a large extra-cardiac echo-free space adjacent to

the LV apex (A), with colour Doppler image between the two (B). LV, left ventricle.