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An Atypical Left Ventricular Pseudoaneurysm Managed Conservatively
Travis Chong1, Aswin Babu2, Adil Rajwani3
1Department of Cardiology, Royal Perth Hospital, Perth, Western Australia, Australia.
JACC. Case Reports
|August 22, 2025
Summary
Left ventricle pseudoaneurysms, a complication of myocardial infarction, can be managed conservatively in chronic, asymptomatic cases. Multimodal imaging is key for diagnosis and guiding treatment decisions for these rare cardiac conditions.
Area of Science:
- Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Background:
- Left ventricle (LV) pseudoaneurysms are life-threatening complications following myocardial infarction.
- Accurate differentiation from true aneurysms is crucial for appropriate management.
- Limited data exists for managing chronic LV pseudoaneurysms.
Observation:
- A case of a thrombosed LV pseudoaneurysm with clot extension into the LV cavity was identified.
- The patient was asymptomatic with non-specific symptoms.
- Multimodal imaging confirmed the diagnosis.
Findings:
- Conservative management was chosen for this chronic LV pseudoaneurysm due to its nature.
- This approach offers an alternative to immediate surgical intervention.
- Multimodal imaging proved essential for diagnosis and management planning.
Implications:
- This case highlights a potential conservative management strategy for select chronic LV pseudoaneurysms.
- Accurate diagnosis via multimodal imaging is critical for guiding treatment decisions.
- Further long-term follow-up data is required to validate conservative management approaches.
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