Dynamic Systolic Compression of the Left Anterior Descending Coronary Artery as the First Clue of Postinfarction Left Ventricular Pseudoaneurysm |
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| Institution: | 1. Department of Cardiovascular Medicine, University of Arkansas for Medical Science, Little Rock, Arkansas, USA;2. Division of Cardiology, Central Arkansas Veterans Healthcare System, Little Rock, Arkansas, USA;1. Montreal Heart Institute, Montréal, Québec, Canada;2. Université de Montréal, Montréal, Québec, Canada;3. Duke Clinical Research Institute, Durham, North Carolina, USA;4. Department of Clinical and Experimental Medicine, Policlinic “G. Martino,” University of Messina, Messina, Italy;1. TotalCardiology? Research Network, Calgary, Alberta, Canada;2. Department of Psychology, University of Calgary, Calgary, Alberta, Canada;3. Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada |
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| Abstract: | Left ventricular pseudoaneurysm and left ventricular free wall rupture are rare but life-threatening complications of acute myocardial infarction. Dynamic systolic compression of the coronary arteries is almost always due to myocardial bridging. However, it has rarely been described in patients with ventricular aneurysms and pseudoaneurysms. We present a case of a patient with recent myocardial infarction who presented with recurrence of chest pain and coronary angiogram showing patent vessels however with systolic compression of the distal left anterior descending coronary artery as a first clue to postinfarct left ventricular pseudoaneurysm. |
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