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A 45-year-old man with a history of hypertension was admitted to the hospital because of nausea, dizziness, and chest pain. Three weeks previously, the patient had had angina pectoris for several hours, but a physician was not consulted. At presentation, acute myocardial infarction was ruled out by laboratory tests and electrocardiography. An echocardiogram (Figure and Video) showed a circumscribed pseudoaneurysm (arrow) of the lateral wall of the left ventricle (LV) and a large pericardial effusion (PE) in the apical five-chamber view. Coronary angiography was performed and showed only distal occlusion of the obtuse marginal branch. The patient was transferred . . . [Full Text of this Article] |
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