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Updated: May 16, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
[Hemolytic anemia due to silent left ventricular rupture after stent thrombosis]
A Krapivsky1, T Altilar, C Vockelmann
1Klinik für Kardiologie, Evangelisches Krankenhaus Mülheim, Wertgasse 30, 45468, Mülheim an der Ruhr, Deutschland.
Insights
A silent rupture of a left ventricular aneurysm caused a pseudoaneurysm in a woman with ischemic cardiomyopathy. This cardiac condition was discovered during an anemia investigation.
Area of Science:
- Cardiology
- Radiology
- Internal Medicine
Background:
- A 51-year-old woman with a history of ischemic cardiomyopathy presented with mild anemia.
- Routine abdominal computed tomography (CT) was performed for anemia investigation.
Observation:
- CT scan revealed suspected intracardiac thrombi.
- Further cardiac examinations were conducted based on the CT findings.
Findings:
- A pseudoaneurysm of the left ventricle was identified.
- This pseudoaneurysm resulted from a silent rupture of a pre-existing left ventricular aneurysm.
Implications:
- Highlights the importance of cardiac evaluation in patients with known cardiomyopathy presenting with seemingly unrelated symptoms.
- Underscores the diagnostic utility of cross-sectional imaging in detecting unexpected cardiac abnormalities.
- Emphasizes the potential for silent cardiac events in patients with pre-existing ventricular aneurysms.
Abstract:
A 51-year-old woman with known ischemic cardiomyopathy presented to the family doctor for investigation of mild anemia. A routinely performed computed tomography of the abdomen resulted in the suspicion of intracardiac thrombi. The subsequent cardiac examinations showed a pseudoaneurysm of the left ventricle as a result of a silent rupture of a pre-existing left ventricular aneurysm.
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