ABSTRACT

Left ventricular (LV) pseudoaneurysms form when cardiac rupture is contained by adhe-rent pericardium or thrombus. Myocardial infarction (particularly inferior wall myocardial infarction) is the leading cause of left ventricular pseudoaneurysms followed by cardiac surgery, trauma, and infection. Although LV pseudoaneurysms are not common, the diag-nosis is difficult and they are prone to rupture. In this report we present a case who susta-ined inferior myocardial infarction, which was complicated by both an pseudoaneurysm on the inferior wall of the left ventricle and a ventricular septal rupture diagnosed by two and four dimensional transthoracic echocardiography.