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A case of a giant left ventricular pseudoaneurysm
Abdelaali Yahya Mourabiti1, Badre Eddine Alami1, Zineb Bouanani1
1Radiology department of CHU HASSAN II de Fez, Morocco, Faculty of medecine Fez, University Sidi Mohamed Ben Abdellah, Fez, Morocco.
Radiology Case Reports
|August 17, 2021
Summary
A left ventricular pseudoaneurysm, a rare outpouching from heart wall rupture, can be lethal if not diagnosed promptly. This case highlights diagnosis via echocardiogram and CT scan in a patient without typical risk factors.
Area of Science:
- Cardiology
- Diagnostic Imaging
Background:
- Left ventricular pseudoaneurysm (LVPSA) arises from myocardial free wall rupture, often post-myocardial infarction or cardiac surgery.
- Unlike true aneurysms, LVPSAs carry a high risk of fatal hemorrhage.
Observation:
- A patient presented with unexplained palpitations and chest pain for one year.
- Transthoracic echocardiogram revealed an unexpected left ventricular outpouching.
Findings:
- Computed tomography scan confirmed a massive left ventricular pseudoaneurysm.
- The patient, lacking prior cardiac risk factors, refused surgical intervention due to risks.
Implications:
- Prompt diagnosis of LVPSA is critical due to its lethal potential.
- Multimodality imaging (echocardiography, CT) aids in diagnosing LVPSA.
- Management decisions for LVPSA require careful consideration of surgical risks.
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