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Thromboembolization complicating left ventricular pseudoaneurysm: serial two-dimensional and color-flow Doppler

I A D'Cruz1, J R Sinden, M R Sridharan

  • 1Department of Medicine, Medical College of Georgia, V.A. Medical Center, Augusta 30910.

The American Journal of the Medical Sciences
|August 1, 1989
PubMed

Insights

A left ventricular pseudoaneurysm, a heart abnormality, was diagnosed in a patient with coronary disease. Disappearance of a blood clot within the pseudoaneurysm correlated with systemic embolization events.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Coronary artery disease poses risks for cardiovascular complications.
  • Systemic emboli can arise from various cardiac sources.

Observation:

  • A patient with known coronary disease presented with recurrent systemic emboli.
  • Diagnostic imaging revealed a left ventricular pseudoaneurysm containing a thrombus.

Findings:

  • Two-dimensional echocardiography, color-flow Doppler, computerized tomography, and angiocardiography confirmed the diagnosis.
  • Serial echocardiograms showed the disappearance of the intra-pseudoaneurysmal thrombus.
  • Thrombus resolution coincided with embolization to the aortic bifurcation.

Implications:

  • Left ventricular pseudoaneurysms are a potential source of systemic emboli in patients with coronary disease.
  • Monitoring intra-pseudoaneurysmal thrombus may aid in predicting embolic events.
  • Understanding this association can inform clinical management strategies for high-risk patients.

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