Unsuccessful primary percutaneous coronary intervention leading to left ventricular pseudoaneurysm

Left ventricular (LV) pseudoaneurysm is usually a very rare complication of transmural myocardial infarction. It starts in a few weeks that following transmural infarction and it has various clinical presentations. Congestive heart failure, mitral regurgitation, ventricular tachyarrhythmia, systemic embolism and cardiac rupture are the most important manifestations. Here we discuss a 54-year-old woman who had a history of unsuccessful revascularization following subacute anterior myocardial infarction, admitted our institution with acute pulmonary edema. Echocardiography revealed a wide apical pseudoaneurysm with moderate mitral regurgitation. After medical stabilization of acute heart failure, open heart surgery advised to the patient.