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An unnatural history of left ventricular pseudoaneurysm?

Andrew K Chen1, Noah Rosenthal, Eric Nyberg

  • 1Harrington-McLaughlin Heart and Vascular Institute and Department of Radiology, University Hospitals Case Medical Center, Cleveland, Ohio, USA.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|July 22, 2010
PubMed

Insights

A large left ventricular pseudoaneurysm (LVPA) can be medically managed long-term, challenging traditional views. Multimodal imaging is crucial for assessing LVPA anatomy and progression.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Purulent pericarditis can lead to complications like left ventricular pseudoaneurysm (LVPA).
  • Long-term survival of LVPA without surgical intervention is traditionally considered rare.

Observation:

  • A 79-year-old woman with a history of methicillin-resistant Staphylococcus aureus bacteremia developed an LVPA after purulent pericarditis and pericardiostomy.
  • The LVPA was medically managed, and its progression was monitored over time.

Findings:

  • Computed tomography (CT), 3D reconstructed CT, and echocardiography documented the LVPA's natural history.
  • The case demonstrates the feasibility of long-term medical management for LVPA.

Implications:

  • This case challenges the necessity of immediate surgical intervention for LVPA.
  • Multimodal imaging plays a vital role in evaluating LVPA anatomy and guiding patient management.

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