Cardiac rupture with giant left ventricular pseudoaneurysm following inferior wall myocardial infarction: A rare complication.

Abstract

A 47-year-old man with no medical history presented with abdominal pain, fatigue and dyspnea over the previous fi ve days. Patient was hypotensive (90/60 mm Hg), tachycardic (140 bpm), pale and diaphoretic. Electrocardiography showed ST elevation and Q-waves in the inferior leads. Coronary angiography showed signifi cant stenosis in right coronary artery. Echocardiography revealed rupture of the infero-posterior free wall of the left ventricle and formation of a giant pseudoaneurysm (11 12 cm) larger than the left