Published online Jun 16, 2018. doi: 10.12998/wjcc.v6.i6.139
Peer-review started: January 22, 2018
First decision: February 9, 2018
Revised: February 14, 2018
Accepted: April 1, 2018
Article in press: April 1, 2018
Published online: June 16, 2018
Processing time: 149 Days and 9.1 Hours
We present a case of a 64-year-old woman with signs of debilitating condition including anginal chest pain, exertional dyspnea, and depression. The patient had previously suffered from a myocardial infarction after a loss of a close family member. Workup showed a posterobasal left ventricular aneurysm and moderate to severe mitral regurgitation in the absence of coronary atherosclerosis. Routine ultrasonography revealed abdominal aortic aneurysm and intraabdominal aortic deviation. The patient was immediately started on optimal medical treatment. On repeat assessment general condition was satisfactory, vital signs were normal, and investigations showed no signs of progressive heart failure or other significant clinical changes. Although prognosis in patients with myocardial infarction with normal coronary arteries is generally considered favorable, mechanical complications such as posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation are possible.
Core tip: Patients with myocardial infarction with normal coronary arteries may develop mechanical complications such as posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation.