Dual Mechanical Complications of an Inferior Myocardial Infarction: A Case of Concurrent Left Ventricular Pseudoaneurysm and Ventricular Septal Rupture

TL;DR

A 63-year-old man with an inferior heart attack developed two rare complications and died despite treatment.

Contribution

This case highlights the rare concurrent occurrence of left ventricular pseudoaneurysm and ventricular septal rupture following a myocardial infarction.

Findings

The patient had an extensive inferior myocardial infarction with mechanical complications.

The patient succumbed to cardiogenic shock after surgery.

Early diagnosis and reperfusion are emphasized for atypical acute coronary syndrome presentations.

Abstract

We present the case of a 63-year-old male admitted for persistent epigastric pain, initially managed as gastrointestinal in origin. Further evaluation revealed an extensive inferior myocardial infarction, complicated by mechanical complications. Despite intensive medical and surgical management, the patient succumbed to cardiogenic shock postoperatively. This case underscores the importance of early diagnosis and reperfusion in acute coronary syndromes, particularly in atypical presentations. The timing of surgical repair in mechanical complications remains a critical and controversial aspect of management.

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