#echocardiography #echo
#myocardialinfarction
A 58-year-old female was admitted to the hospital for severe retrosternal chest pain accompanied by dyspnea and sweating, one month after a prolonged episode of angina for which she did not required medical assistance. The morning after admission, her condition worsened, with progressive cardiogenic shock, syncope, and pericardial effusion of 20 mm.

TTE disclosed a moderately depressed left ventricular systolic function due to lateral wall akinesia with a large left ventricular pseudoaneurysm (LV-PSA) that involving the basal and mid segments of both, inferolateral and anterolateral wall, with a narrow neck.
Severe mitral regurgitation due to posterior leaflet apposition restricted.
Echocardiography confirmed also a large pericardial effusion with pericardial thrombus.

Here, we report a case of contained left ventricular free wall rupture following myocardial infarction.

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