Goire GG, Arias OY, Aguirre RAC, Calzado FG, Cuza LA, Jay DE, Peláez RP

Language: Spanish
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ABSTRACT

The incomplete rupture of the heart may occur when organized thrombus and haematomas, together with pericardium, seal a rupture of the left ventricle and thus prevent the development of hemopericardium. Later, this area of organized thrombuses and pericardium can become a pseudoaneurysm (false aneurysm) that maintains communication with the cavity of the left ventricle. In contrast to true aneurysms, which always contain some myocardial elements in their walls, the walls of pseudoaneurysms are composed of organized hematoma and pericardium and lack any elements of the original myocardial wall. The following is a case report of an aged 65 patient who suffered from this complication due to a myocardial infartion with right bundle branch blockade, who belaledly went to search medical assistance and because of this he could not recieve the suitable reperfusion therapy and then progressing to cardiogenic shock and dead.