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Cardiac Pseudoaneurysm- A Death Defying Entity

Manoj Mathur1, Saryu Gupta2

  • 1Associate Professor, Department of Radiodiagnosis, Government Medical College , Patiala, Punjab, India .

Journal of Clinical and Diagnostic Research : JCDR
|August 10, 2016
PubMed

Insights

Cardiac pseudoaneurysms, a contained myocardial rupture, require urgent surgery and differ from true aneurysms. Early detection via CECT imaging is crucial for patient survival.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Pseudoaneurysms are contained myocardial ruptures lacking myocardial tissue in their walls, distinct from true aneurysms.
  • Differentiating pseudoaneurysms from true aneurysms is critical due to differing treatment modalities and prognoses.

Observation:

  • A 46-year-old male presented with chest pain and dyspnea four months post-myocardial infarction.
  • Computed tomography angiography (CECT) revealed a large, partially thrombosed pseudoaneurysm originating from the left ventricle's posterior wall.

Findings:

  • Clinical diagnosis of cardiac pseudoaneurysms can be challenging.
  • CECT imaging plays a pivotal role in the non-invasive detection and characterization of pseudoaneurysms.

Implications:

  • Pseudoaneurysms necessitate urgent surgical intervention to prevent rupture and mortality.
  • Accurate diagnosis through advanced imaging like CECT is vital for timely and appropriate patient management.
Keywords:
Free wall ruptureMyocardial infarctionTrue aneurysm

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