An Asymptomatic Pseudoaneurysm Diagnosed Using Left Ventricular Angiography

Adel Shelfah1, Caleb Powell1, Devin Fitzgerald1

  • 1Cork University Hospital, Cork, Ireland.

JACC. Case Reports
|March 21, 2025
PubMed

Insights

A large left ventricular pseudoaneurysm was incidentally found during evaluation for myocardial ischemia. Multimodality cardiac imaging revealed its presentation and characteristics.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Cardiovascular Surgery

Background:

  • Left ventricular pseudoaneurysms are rare but serious cardiac conditions.
  • They can arise from myocardial infarction or cardiac surgery complications.
  • Incidental discovery during ischemia work-up highlights the importance of comprehensive imaging.

Purpose of the Study:

  • To present a case of a large left ventricular pseudoaneurysm.
  • To illustrate its incidental discovery during myocardial ischemia evaluation.
  • To showcase multimodality cardiac imaging findings.

Main Methods:

  • Case report presentation.
  • Review of patient's diagnostic work-up for suspected myocardial ischemia.
  • Utilization of multimodality cardiac imaging (e.g., echocardiography, MRI, CT).

Main Results:

  • A large left ventricular pseudoaneurysm was incidentally identified.
  • Imaging findings confirmed the diagnosis and characterized the pseudoaneurysm.
  • The patient was undergoing investigation for potential myocardial ischemia.

Conclusions:

  • Left ventricular pseudoaneurysms can be incidentally detected during cardiac evaluations.
  • Multimodality imaging is crucial for diagnosing and characterizing these abnormalities.
  • Early recognition is vital for appropriate management and patient outcomes.