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Left ventricular true and false aneurysms identified by cardiovascular magnetic resonance

S Gill1, D J Rakhit, S K Ohri

  • 1Department of Cardiothoracic Radiology, Southampton University Hospitals NHS Trust, UK.

The British Journal of Radiology
|January 25, 2011
PubMed

Insights

Left ventricular aneurysms are rare after heart attack. Cardiovascular MR imaging is crucial for differentiating true aneurysms from false ones, guiding appropriate patient management and improving outcomes.

Area of Science:

  • Cardiovascular Imaging
  • Cardiac Surgery
  • Medical Diagnostics

Background:

  • Left ventricular aneurysms are uncommon but serious complications following myocardial infarction.
  • Accurate differentiation between true and false left ventricular aneurysms is critical for management decisions.
  • True aneurysms are typically managed conservatively, while false aneurysms require urgent surgical intervention due to rupture risk.

Observation:

  • Cardiovascular magnetic resonance (MR) is increasingly utilized for aneurysm characterization and morphological assessment.
  • This report details an exceptionally rare case of coexisting true and false left ventricular aneurysms in a single patient.
  • The study highlights the diagnostic capabilities of MR in delineating complex aneurysm structures.

Findings:

  • Cardiovascular MR imaging accurately delineated both the true and false left ventricular aneurysms.
  • Late gadolinium-enhancement sequences provided definitive evidence confirming the presence of both aneurysm types.
  • The findings underscore MR's role in precise diagnosis of left ventricular aneurysms.

Implications:

  • Accurate diagnosis of left ventricular aneurysm subtypes using cardiovascular MR can significantly impact patient treatment strategies.
  • Improved characterization of aneurysm morphology and type aids in risk stratification and surgical planning.
  • This case emphasizes the value of advanced imaging in managing rare cardiovascular pathologies.

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