Subepicardial aneurysm with free wall rupture and its successful surgical intervention: a case report.

ABSTRACT:

Background

Subepicardial aneurysm (SEA) is an uncommon but potentially fatal complication of acute myocardial infarction (MI) associated with an increased risk of free wall rupture (FWR) leading to sudden death. We describe a rare case of a silent myocardial infarction complicated by SEA and subsequent FWR, resulting in cardiac tamponade.

Case summary

A 68-year-old man with no previous chest symptoms presented with syncope. Cardiac computed tomography incidentally revealed a small aneurysmal cavity at the inferolateral wall of the left ventricle, which was overlooked on initial transthoracic echocardiography. Coronary angiography demonstrated a narrowed first obtuse marginal branch with coronary slow flow, suggesting that spontaneous recanalization of the occluded obtuse mar

SUBMITTER: Fukui T 

PROVIDER: S-EPMC7954271 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature