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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report.

Ashar Pirzada1, Kim Styles1, Robbie Stewart1

  • 1Division of Cardiology, Department of Medicine, Dalhousie University, 1796 Summer St, Room 2132, Halifax Infirmary, Halifax, NS B3H 3A7, Canada.

European Heart Journal. Case Reports
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Summary

Left ventricular pseudoaneurysm is a rare complication of myocardial infarction. This case highlights atypical symptoms of dysphagia and weight loss, emphasizing the need for prompt diagnosis and further research into optimal management strategies.

Keywords:
Case reportComputed tomographyEchocardiographyMyocardial infarctionPseudoaneurysm

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Area of Science:

  • Cardiology
  • Gastroenterology
  • Medical Imaging

Background:

  • Left ventricular pseudoaneurysm (LVPA) is an uncommon complication of acute myocardial infarction (MI), often presenting with typical symptoms like heart failure or chest pain.
  • Early reperfusion therapies for MI have reduced the incidence of LVPA.
  • LVPA can manifest atypically, posing diagnostic challenges.

Observation:

  • A 61-year-old male presented with dysphagia and weight loss, attributed to a massive left ventricular pseudoaneurysm.
  • Imaging (echocardiogram, CT) confirmed the LVPA and its mass effect on gastrointestinal organs.
  • Endoscopic evaluation ruled out organic gastrointestinal causes.

Findings:

  • The LVPA caused significant mass effect, leading to atypical symptoms of dysphagia and weight loss.
  • Surgical intervention was attempted but ultimately unsuccessful.
  • Diagnostic modalities like echocardiography, CT, and cardiac MRI are crucial for identifying LVPA.

Implications:

  • This case underscores the importance of considering LVPA in patients with unexplained gastrointestinal symptoms, even with atypical presentations.
  • Further research is needed to establish optimal management strategies, balancing conservative versus surgical approaches for chronic pseudoaneurysms.
  • Prompt diagnosis and tailored management are critical for improving prognosis in patients with left ventricular pseudoaneurysm.