Huge Pseudoaneursym Presenting with Silent Myocardial Infarction and Stroke

English (OpenAlex)

Huge Pseudoaneursym Presenting with Silent Myocardial Infarction and StrokeA 51-year-old male patient, who had a short-term loss of consciousness, was admitted to the emergency department.The patient had right hemiparesis and a flattened right nasolabial sulcus.The initial troponin level was 31 ng/L, and it increased to 1502 ng/L in the second hour, revealing a giant 9 cm diameter pseudoaneurysm with a mobile thrombus on echocardiography (Figure 1).Bidirectional blood flow was detected within the aneurysm sac (Video 1).A small focal diffusion restriction at the vertex level in the right frontal lobe and diffuse cortical diffusion restriction in the bilateral posterior parietal lobes were observed (Figure 1).The patient was admitted to the coronary intensive care unit with a diagnosis of acute MI, acute ischemic cerebrovascular disease, and giant left ventricular pseudoaneurysm, and medical treatment was started.After 5 days of inpatient medical treatment, the patient was discharged.