A Rare Presentation of Left Ventricular Aneurysm and Dressler Syndrome in a Patient of Post Myocardial Infarction
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 9
Abstract
An aneurysm of the left ventricle is a complication of acute myocardial infarction. Ventricular aneurysms are circumscribed, thin walled fibrous, noncontractile outpouchings of the ventricle. The majority are apically located, true aneurysms of the left ventricle (LV) that occur as a consequence of transmural myocardial infarction (MI). Post acute myocardial infarction (AMI) pericarditis, pericardial effusion and low grade fever – known as Dressler syndrome, are the major complications following AMI. It is rare and estimated to be only about 0.1% in AMI patients. Dressler syndrome is rarely associated with left ventricular aneurysm and it is occurring 2 to 3 weeks after AMI. We report a 68-year-old male who had antero lateral wall myocardial infarction which was silent and complicated with left ventricular aneurysm and systolic heart failure. Patient was diagnosed to have Dressler syndrome. Pig tail catheter was introduced for draining the pericardial fluid. Patient underwent coronary angiography which revealed total occlusion of left anterior descending artery, and left ventricular angiogram shows left ventricular aneurysm. Patient received surgical repair and followed-up regularly.
Authors and Affiliations
Dr. Subrata Pramanik
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