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Dissecting ventricular pseudoaneurysm after perimyocarditis-a case report
Rickard P F Lindblom1, Ulrica Alström2, Vitas Zemgulis3
1Department of Cardiothoracic Surgery and Anesthesia, Uppsala University Hospital, 751 85, Uppsala, Sweden. rickard.lindblom@akademiska.se.
Journal of Cardiothoracic Surgery
|November 8, 2015
Summary
This case highlights rapid pseudoaneurysm development in a patient with systemic inflammation. Early surgical intervention is crucial due to the unpredictable nature of cardiac pseudoaneurysms.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Presents a rare case of rapidly developing cardiac pseudoaneurysm.
- Patient exhibited systemic inflammation and abnormal blood work.
- Unusual presentation in an adult without a history of myocardial infarction.
Observation:
- Pseudoaneurysm developed within one week of symptom onset.
- Unusual intramural dissection beneath the septum, affecting right ventricular filling.
- Coronary arteries were healthy, suggesting alternative etiology.
Findings:
- The pseudoaneurysm's rapid growth and extensive intramural dissection.
- Absence of typical myocardial infarction etiology.
- Potential link to aggressive perimyocarditis.
Implications:
- Emphasizes the unpredictable behavior of cardiac pseudoaneurysms.
- Advocates for prompt surgical consultation and intervention.
- Highlights the importance of considering perimyocarditis in pseudoaneurysm etiology.
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