Deferring Percutaneous Coronary Intervention in Subacute STEMI With Rare Mechanical Complications.

ABSTRACT:

Background

Pseudoaneurysms and walls defects are rare mechanical complications of myocardial infarction, more common in subacute or late presentations.

Case summary

A patient with subacute anterior ST elevation myocardial infarction presented to the emergency department with a large pseudoaneurysm of the apical septum, identified as an ischemic mechanical complication. Despite the confirmed complete occlusion of the left anterior descending artery, revascularization was deferred owing to the patient's high risk.

Discussion

The optimal timing for cardiac surgery in post-ischemic wall mechanical complications remains unclear. Evidence suggests immediate repair may prevent deterioration, while some surgeons recommend delaying surgery for 3 to 6 weeks to allow for fibroti

SUBMITTER: Prosperi S 

PROVIDER: S-EPMC11830274 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature