An Incidentally Detected Right Ventricular Pseudoaneurysm (original) (raw)
Related papers
Large Left Ventricular Pseudoaneurysm Presenting 25 Years After Penetrating Chest Trauma
Journal of Interventional Cardiology, 2005
Penetrating chest wounds leading to damage of thoracic structures are common. A rare sequelae of chest trauma is a contained rupture of the left ventricle of the heart leading to the development of a pseudoaneurysm. This complication needs prompt recognition and repair because of the high likelihood of rupture and death. We report the case of a 47-year-old man who underwent repair of a stab wound to the heart 25 years ago and subsequently developed a large left ventricular pseudoaneurysm and presented with angina. (J Interven Cardiol 2005;18:193-200)
Post-traumatic left ventricular pseudoaneurysm
Interactive cardiovascular and thoracic surgery, 2012
Left ventricular pseudoaneurysms (LVPs) occur as a complication of myocardial infarction, cardiac surgery and, rarely, due to thoracic trauma, infective pericarditis or iatrogenisis due to accidental perforation of the myocardium. Ventricular pseudoaneurysms are acquired by blood-filled spaces outside the cardiac chambers communicating with the ventricle. We present a case of LVP presented after a blunt non-penetrating chest injury. The patient underwent successful aneurysmorrhaphy.
Left ventricular pseudoaneurysm formation: Two cases and review of the literature
World journal of clinical cases, 2014
Left ventricular wall rupture (LVWR) comprises a complication of acute myocardial infarction (AMI). Acute LVWR is a fatal condition, unless the formation of a pseudoaneurysm occurs. Several risk factors have been described, predisposing to LVWR. High index of suspicion and imaging techniques, namely echocardiography and computed tomography, are the cornerstones of timely diagnosis of the condition. As LVWR usually leads to death, emergency surgery is the treatment of choice, resulting in significant reduction in mortality and providing favorable short-term outcomes and adequate prognosis during late follow-up. Herein, we present two patients who were diagnosed with LVWR following AMI, and subsequent pseudoaneurysm formation. In parallel, we review the aforementioned condition.
2016
Introduction: Left ventricular (LV) pseudoaneurysms are a rare and challenging clinical problem. Defined as a contained rupture of the left ventricular wall and most commonly caused by myocardial infarction (MI), patients generally present with chest pain, congestive heart failure, or dyspnea. Diagnosis is usually achieved through use of either echocardiography or angiography. Management is generally operative. Case Series: We sought to examine our experience in the management of LV pseudoaneurysms with the goal of describing the diverse presentation of this disease, along with our individualized management. We report a retrospective case series of four patients who presented to our center with LV pseudoaneurysm, all of which were managed operatively. All four patients underwent successful repair with 100% short-term survival. Conclusion: Early diagnosis and an individualized operative approach is critical in the management of left ventricular pseudoaneurysm.
Catheterization and Cardiovascular Diagnosis, 1983
This 45-year-old white male was evaluated for congestive heart failure initially ascribed to a rapidly progressive cardiomyopathy. Both radionuclide ventriculography and echocardiography correctly identified a left ventricular pseudoaneurysm as the cause for heart failure. Thallium-201 scintigraphy, by demonstrating a large perfusion defect, suggested a large ostium of the pseudoaneurysm. Following resection of the false aneurysm, a Dacron prosthesis was required to close a large posterior wall defect. We conclude that both radionuclide ventriculography and echocardiography can independently demonstrate a left ventricular pseudoaneurysm. The combined noninvasive approach is able to delineate various anatomical aspects of the pseudoaneurysm and help in planning adequate surgical intervention.
World Journal of Cardiology, 2012
Left ventricle (LV) pseudoaneurysm is a late mechanical complication of myocardial infarction. A giant LV pseudoaneurysm is a rare presentation. We report a case of giant LV pseudoaneurysm in a post-MI patient who presented with gross congestive heart failure. The patient had a successful surgical repair of the aneurysm and had a favorable 3-mo outcome. The imaging modality and surgical treatment of the pseudoaneurysm are discussed.
Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management
Journal of investigative medicine high impact case reports
Left ventricular pseudoaneurysm is a rare but life-threatening disorder that is frequently reported secondary to myocardial infarction or cardiac surgery. In this article, we chronicle the case of a patient with no prior risk factors who presented with a 2-week history of nonexertional atypical left chest pain. Apical 2-chamber transthoracic echocardiography revealed an unexpected outpouching of basal inferoseptal wall of the left ventricle, which had a narrow neck and relatively wide apex. The patient was diagnosed with left ventricular pseudoaneurysm and medical therapy was initiated. He refused to undergo the surgical intervention and subsequently, he was discharged from the hospital in stable condition. This article illustrates that physicians should be vigilant for atypical presentations of left ventricular pseudoaneurysm, and a high index of suspicion should be maintained for this stealth killer while performing appropriate diagnostic imaging. Additionally, we review the curre...