Medical treatment of left ventricular pseudoaneurysms.

A 59-year-old male experienced severe central chest pain for 1 hour with no associated breathlessness. His medical history included rheumatoid arthritis for which he took methotrexate. His 12 lead electrocardiogram confirmed sinus rhythm with a heart rate of 68 bpm, Q waves in the inferior leads and persisting ST segment elevation in leads V3–V6. Blood tests confirmed increased troponin and an echocardiogram confirmed severely impaired left ventricle function. Angiography noted an occluded right coronary artery with plaque in the left anterior descending artery but no targets for …