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Myocardial infarction caused by compression of the left coronary artery by an aortic pseudoaneurysm

Publication at Third Faculty of Medicine |
2020

Abstract

Aortic pseudoaneurysm is most commonly seen as a complication of ascending aorta replacement, appearing several years after the operation. Pseudoaneurysm after cardiac catheterization, on the other hand, is very unusual.

We present a rare case of successful management of a myocardial infarction caused by aortic pseudoaneurysm more than 50 years after surgical closure of a ventricular septal defect. A 64-year-old woman who had undergone surgical closure of a congenital ventricular septal defect at the age of 11 years was examined in our cardio center for long-term worsening exertional dyspnea.

Echocardiography revealed a residual hemodynamically insignificant left-to-right shunt after the ventricular septal defect closure.