WJCD  Vol.4 No.6 , May 2014
An Extraordinary Case of Silent Extensive Anterior Wall Myocardial Infarction Complicated with Giant Left Ventricular Aneurysm and Dressler Syndrome
ABSTRACT
Early post-acute myocardial infarction (AMI) pericarditis, pericardial effusion with or without cardiac tamponade, and late post-MI pericarditis (Dressler syndrome), are the major pericardial complications after AMI. It is quite rare and estimated to be only about 0.1% in AMI patients according to a recent report, so it is easily neglected or misdiagnosed and may have tragic result to patient. Clinical features of this post-AMI complication include fever, chest pain, pericarditis and pleurisy occurring 2 to 3 weeks after AMI. Dressler syndrome is rarely associated with left ventricular aneurysm. Contrast enhanced magnetic resonance and echocardiography play important roles in diagnosis of left ventricle aneurysm. We report a 54-year-old male heavy labor worker who had asymptomatic, severe coronary artery disease, complicated with silent myocardial infarction, which resulted in large left ventricular aneurysm, and also systolic heart failure was noted. Patient was diagnosed to have Dressler syndrome after his second cardiology clinic follow-up. He received coronary angiography which revealed triple vessel disease with total occlusion of left anterior descending artery, and a giant left ventricular aneurysm was found. He received surgical intervention with Batista method and followed-up uneventfully at the cardiology clinic.
Cite this paper
Leong, I. , Tam, W. , Chan (Chen), P. and Liu, Z. (2014) An Extraordinary Case of Silent Extensive Anterior Wall Myocardial Infarction Complicated with Giant Left Ventricular Aneurysm and Dressler Syndrome. World Journal of Cardiovascular Diseases, 4, 294-298. doi: 10.4236/wjcd.2014.46038.
References
[1]   Imazio, M., Negro, A., Belli, R., Beqaraj, F., Forno, D., Giammaria, M., Trinchero, R., Adler, Y. and Spodick, D. (2009) Frequency and Prognostic Significance of Pericarditis Following Acute Myocardial Infarction Treated by Primary Percutaneous Coronary Intervention. American Journal of Cardiology, 103, 1525-1529.
http://dx.doi.org/10.1016/j.amjcard.2009.01.366

[2]   Wall, T.C., Califf, R.M., Harrelson-Woodlief, L., Mark, D.B., Honan, M., Abbotsmith, C.W., et al. (1990) Usefulness of a Pericardial Friction Rub after Thrombolytic Therapy during Acute Myocardial Infarction in Predicting Amount of Myocardial Damage. American Journal of Cardiology, 66, 1418-1421.
http://dx.doi.org/10.1016/0002-9149(90)90526-7

[3]   Correale, E., Maggioni, A.P., Romano, S., Ricciardiello, V., Batista, R., Salvarola, G., et al. (1993) Comparison of Frequency, Diagnostic and Prognostic Significance of Pericardial Involvement in Acute Myocardial Infarction Treated with and without Thrombolytics. American Journal of Cardiology, 71, 1377-1381.
http://dx.doi.org/10.1016/0002-9149(93)90596-5

[4]   Shahar, A., Hod, H., Barabash, G.M., Kaplinsky, E. and Motro, M. (1994) Disappearance of a Syndrome: Dressler’s Syndrome in the Era of Thrombolysis. Cardiology, 85, 255-258.
http://dx.doi.org/10.1159/000176683

[5]   Pasotti, M., Prati, F. and Arbustini, E. (2006) The Pathology of Myocardial Infarction in the Pre- and Post-Interventional Era. Heart, 92, 1552-1556.
http://dx.doi.org/10.1136/hrt.2005.086934

[6]   Dressler, W.A. (1956) Post-Myocardial Infarction Syndrome: Preliminary Report of a Complication Resembling Idiopathic, Recurrent, Benign Pericarditis. The Journal of the American Medical Association, 160, 1379-1383.
http://dx.doi.org/10.1001/jama.1956.02960510005002

[7]   Cho, M.N., Mehta, S.K., Matulevicius, S., Weinstein, D., Wait, M.A. and McGuire, D.K. (2006) Differentiating True Versus Pseudo Left Ventricular Aneurysm: A Case Report and Review of Diagnostic Strategies. Cardiology in Review, 14, e27-e30.

[8]   Feringa, H.H., Karagiannis, S.E., Vidakovic, R., Elhendy, A., Folkert, J., Noordzij, P.G., et al. (2007) The Prevalence and Prognosis of Unrecognized Myocardial Infarction and Silent Myocardial Ischemia in Patients Undergoing Major Vascular Surgery. Coronary Artery Disease, 18, 571-576.
http://dx.doi.org/10.1097/MCA.0b013e3282f08e86

 
 
Top