Left ventricular (LV) pseudoaneurysm after acute myocardial infarction may show nonspecific symptoms and be asymptomatic in up to 10% of cases. It demands investigation and a suspected diagnosis, with imaging methods playing a fundamental role in its diagnosis. This case report describes a pseudoaneurysm detected on a routine examination.
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Left Ventricular Free-Wall Rupture (Pseudoaneurysm) after Acute Myocardial Infarction in an Asymptomatic Patient
ValérioRS, OshiroFS, RodriguesAAE, SiqueiraMEM, UellendahlMM. Left Ventricular Free-Wall Rupture (Pseudoaneurysm) after Acute Myocardial Infarction in an Asymptomatic Patient. Arq Bras Cardiol: Imagem cardiovasc. 2021;34(1):eabc134.
Valério,Raul Serra; Oshiro,Fernanda Sayuri; Rodrigues,Alfredo Augusto Eyer; Siqueira,Maria Eduarda Menezes de; Uellendahl,Marly M.. Left Ventricular Free-Wall Rupture (Pseudoaneurysm) after Acute Myocardial Infarction in an Asymptomatic Patient. Arq Bras Cardiol: Imagem cardiovasc., v. 34, n. 1, eabc134, Mar. 2021.
Valério,R.S., Oshiro,F.S., Rodrigues,A.A.E., Siqueira,M.E.M. , & Uellendahl,M.M. (2021). Left Ventricular Free-Wall Rupture (Pseudoaneurysm) after Acute Myocardial Infarction in an Asymptomatic Patient. Arq Bras Cardiol: Imagem cardiovasc.,34(1), eabc134.
Valério,Raul Serra and Oshiro,Fernanda Sayuri and Rodrigues,Alfredo Augusto Eyer and Siqueira,Maria Eduarda Menezes de and Uellendahl,Marly M.. Left Ventricular Free-Wall Rupture (Pseudoaneurysm) after Acute Myocardial Infarction in an Asymptomatic Patient. Arq Bras Cardiol: Imagem cardiovasc. [online]. 2021, vol. 34, n. 1, [cited 2026-03-06], eabc134. Available from: <https://www.abcimaging.org/article/left-ventricular-free-wall-rupture-pseudoaneurysm-after-acute-myocardial-infarction-in-an-asymptomatic-patient/>. ISSN .
Figure 1
Echocardiography image in apical four-chamber view showing an apical pseudoaneurysm.