CONTENT
To the Editor,
We read with great interest the article titled ‘‘Huge Pseudoaneurysm Presenting with Silent Myocardial Infarction and Stroke’’ by Şaşmaz et al1 published in
Ventricular pseudoaneurysms were formerly believed to have a 30-45% rupture risk. Surgery is the first course of therapy to be considered since pseudoaneurysms have an intrinsic high chance of rupturing. It is provided to patients under case-by-case cautious supervision. Yeo et al3 demonstrated that in a group of 52 patients with ventricular pseudoaneurysms who were monitored for a median of 4 years, 42 patients had surgery, although it is noteworthy that 10 patients who were treated conservatively did not have a rupture. Large or acute pseudoaneurysms during myocardial infarction are more likely to need repair, despite a lack of randomized controlled evidence on this topic.4,
Additionally, we would want to ask respectfully of the authors how often did they contact the patient for follow-up appointments after discharge to assess the likelihood of pseudoaneurysm rupture.
References
- Şaşmaz Mİ, Demir B, Uçar M, Avci A. Huge pseudoaneurysm presenting with silent myocardial infarction and stroke. Anatol J Cardiol. 2024;28(6):E-24-E25.
- Jauch EC, Saver JL, Adams HP. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870-947. https://doi.org/10.1161/STR.0b013e318284056a
- Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128(4):299-305. https://doi.org/10.7326/0003-4819-128-4-199802150-00010
- Hulten EA, Blankstein R. Pseudoaneurysms of the heart. Circulation. 2012;125(15):1920-1925. https://doi.org/10.1161/CIRCULATIONAHA.111.043984
- Chugh V, Bhushan R, Jhajhria NS. Surgical management and outcome of left ventricular pseudoaneurysm: our 11-year experience. Kardiochir Torakochirurgia Pol. 2021;18(4):210-215. https://doi.org/10.5114/kitp.2021.112186