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An Asymptomatic Pseudoaneurysm Diagnosed Using Left Ventricular Angiography
Adel Shelfah1, Caleb Powell1, Devin Fitzgerald1
1Cork University Hospital, Cork, Ireland.
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.
Abstract:
We report the case of a large left ventricular pseudoaneurysm discovered incidentally in a patient undergoing work-up for suspected myocardial ischemia. This clinical vignette and accompanying figure show the presentation and multimodality of cardiac imaging findings.

