Silent Myocardial Infarction Complicated by Asymptomatic Ventricular Septal Defect and Deferred Rupture of Left Ventricular Pseudoaneurysm

AUTOR(ES)
RESUMO

Patients with a postinfarction ventricular septal defect or ruptured left ventricular pseudoaneurysm usually present with sudden cardiogenic shock or cardiac tamponade, respectively. We report the case of a 59-year-old man who had a silent myocardial infarction followed by an asymptomatic ventricular septal defect, both of which remained undiagnosed until the patient experienced a 2nd myocardial event 1 month later. This 2nd event was possibly a new infarction accompanied by left ventricular pseudoaneurysmal development and exsanguination, but not by tamponade.

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