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Left ventricle pseudoaneurysm: contribution of multimodality imaging to the diagnosis

Ellenga Mbolla Bertrand Fikahem1, Okemba-Okombi Franck Hardain2, Mongo-Ngamami Flore Solange3

  • 1Department of Cardiology, University Hospital of Brazzaville, P.O. Box 32, Brazzaville, Democratic Republic of Congo ; Department of Medicine, Faculty of Health Science, Marien Ngouabi University, P.O. Box 2672, Brazzaville, Democratic Republic of Congo.

Case Reports in Cardiology
|August 21, 2014
PubMed

Insights

Left ventricle pseudoaneurysm, a rare cardiac anomaly, can lead to severe complications. Surgical intervention is the only effective treatment for this condition.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Left ventricle pseudoaneurysm is a rare cardiac anomaly characterized by a rupture in the ventricle wall connected to an external sac.
  • It can arise secondary to myocardial infarction, trauma, or surgical procedures, though the cause remains idiopathic in some cases.
  • Potential complications include heart failure, arrhythmias, vascular embolism, and sudden cardiac death.

Purpose of the Study:

  • To report a case of left ventricle pseudoaneurysm diagnosed in a patient presenting with an incidental finding on radiography.
  • To highlight the diagnostic utility of echocardiography and CT scan in visualizing left ventricle pseudoaneurysm and associated thrombus.
  • To emphasize the critical role of surgical treatment for left ventricle pseudoaneurysm.

Main Methods:

  • Case report of a 64-year-old male patient with an incidental cardiac shadow on radiography.
  • Diagnostic imaging included echocardiography and computed tomography (CT) scan to evaluate the cardiac anomaly.
  • Patient evaluation prior to planned surgical intervention.

Main Results:

  • Radiography revealed an unusual cardiac shadow, prompting further investigation.
  • Echocardiography and CT scan confirmed the presence of a left ventricle pseudoaneurysm with an in situ thrombus.
  • The patient, with no prior medical history, was awaiting surgical management.

Conclusions:

  • Left ventricle pseudoaneurysm is a serious cardiac condition requiring surgical treatment.
  • Multimodal imaging, including echocardiography and CT, is essential for accurate diagnosis and management planning.
  • Prompt surgical intervention is crucial to prevent life-threatening complications associated with left ventricle pseudoaneurysm.

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