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Giant Left Ventricular Pseudoaneurysm as a Late Complication of Myocardial Infarction

Inês Silveira1, Patrícia Rodrigues1, Catarina Gomes1

  • 1Department of Cardiology, Centro Hospitalar do Porto, Porto, Portugal.

Journal of Cardiovascular Echography
|April 10, 2018
PubMed

Insights

A giant left ventricular aneurysm/pseudoaneurysm with a mural thrombus was diagnosed in a heart failure patient. Cardiac magnetic resonance imaging was crucial for diagnosis and management guidance.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging

Background:

  • Progressive heart failure symptoms in a patient with prior myocardial infarction.
  • Importance of evaluating cardiac complications post-myocardial infarction.

Observation:

  • A 63-year-old male presented with worsening heart failure.
  • Echocardiogram identified a giant left ventricular aneurysm/pseudoaneurysm with a mural thrombus.
  • Cardiac magnetic resonance imaging (CMR) was utilized for further characterization.

Findings:

  • Diagnosis of a giant left ventricular pseudoaneurysm involving inferior and inferolateral walls.
  • Massive mural thrombus associated with the pseudoaneurysm.
  • CMR essential for differentiating pseudoaneurysm from true aneurysm and guiding management.

Implications:

  • Highlights the diagnostic utility of multimodality imaging in complex cardiac cases.
  • Emphasizes the role of CMR in characterizing left ventricular pseudoaneurysms.
  • Informs clinical decision-making for patients with post-myocardial infarction complications.

Keywords:
Heart failuremyocardial infarctionpseudoaneurysm

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