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Unusual case of left ventricular pseudoaneurysm

Giuseppina Novo1, Massimo Midiri, Giovanni Fazio

  • 1Department of Cardiology, University of Palermo, Palermo, Italy. novog@unipa.it

Circulation Journal : Official Journal of the Japanese Circulation Society
|December 18, 2008
PubMed

Insights

A rare left ventricular pseudoaneurysm formed a chest wall mass in a patient with prior heart surgery. This cardiac complication required advanced imaging for diagnosis and management.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Imaging

Background:

  • Patient history includes anterior myocardial infarction, triple coronary artery bypass graft, and left ventricular (LV) aneurysmectomy.
  • Presented with chest pain and a palpable pulsing mass in the left chest wall.

Observation:

  • Physical examination revealed a pulsatile mass in the left chest wall.
  • Cardiac multislice computed tomography (CT) was utilized for detailed imaging.

Findings:

  • Diagnosis of a rare left ventricular pseudoaneurysm measuring 6.3 x 6 x 10 cm.
  • A 1 cm fistulous tract connected the pseudoaneurysm to the left anterior chest wall.
  • Resulting subfascial mass measured 7.1 x 3.6 cm.

Implications:

  • Highlights the importance of advanced imaging in diagnosing rare cardiac complications.
  • Underscores potential long-term risks following coronary artery bypass graft and LV aneurysmectomy.
  • Emphasizes the need for prompt recognition of chest wall masses in cardiac patients.

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