Giant Left Ventricular Pseudoaneurysm after Acute Myocardial Infarction Secondary to Cocaine Use

Alexandre de Matos Soeiro, Felipe Lourenço Fernandes, Maria Cardoso Guerreiro, Thiago Marques Mendes, Maria Carolina Feres de Almeida Soeiro, Tatiana de Carvalho Andreucci Torres Lea, Débora Yuri Moura Nakamura, Fábio Antônio Gaiotto, Múcio Tavares Oliveira Jr.

Abstract


The patient is a 19-year-old male that reported a 7-year history of regular cocaine presenting at this moment with dyspnea after moderate exertion, orthopnea and paroxysmal nocturnal dyspnea for 30 days. The echocardiogram and the cardiac magnetic resonance imaging showed a giant left ventricle pseudoaneurysm secondary to the usage of cocaine and previous myocardial infarction. The combination of these situations made this patient a unique case. We showed that the surgical treatment may be an option.

Keywords


Acute coronary syndromes; Aneurysm; Cocaine

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