Maladies cardiovasculaires et diagnostic

A Rare Case of Pseudoaneurysm of the Aortic Root Compressing the Left Anterior Descending Artery and Causing Myocardial Infarction: A Case Report and Review

Abstract

Chirag Rana, Mukund Das, Kunal Patel, Hiten Patel, Fayez Shamoon, Mahesh Bikkina

Aortic pseudoaneurysm is extremely rare and a catastrophic sequelae of aortic surgery and blunt chest trauma involving the aorta. They can be asymptomatic or present with non-specific cardiac symptoms. In some instances, they present with life threatening complications such as rupture or even sudden death. Symptoms are usually due to the anatomical location, size and pressure on the neighboring anatomical structures. Here we report on a 37-yearold male with history of multiple cardiac surgeries including aortic root and aortic valve surgeries who developed a pseudoaneurysm two weeks after an aortic root patching. The pseudoaneurysm was found to be externally compressing the left anterior descending artery, leading to a myocardial infarction.