Left Ventricular Pseudoaneurysm Linked to Prior Spontaneous Coronary Artery Dissection
Maryam Mehrpooya1, Sahar Behnam Roudsari1, Negar Omidi2
1Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Background:
Left ventricular (LV) pseudoaneurysm is a rare but life-threatening condition, affecting approximately 0.2% of patients after myocardial infarction.
Case Summary:
We presented the case of a 57-year-old man with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending coronary artery who presented with chest discomfort and dyspnea and ultimately received a diagnosis of an LV pseudoaneurysm.
Discussion:
This case not only highlights the rarity of co-occurring SCAD and LV pseudoaneurysm but also reveals detailed coronary angiographic, cardiac magnetic resonance imaging, and coronary computed tomography angiographic findings of a calcified LV pseudoaneurysm and the critical role of multimodality imaging in such complex conditions.
Take-Home Messages:
LV pseudoaneurysm is a rare complication of SCAD. Multimodality imaging is critical in such complex cases as it can prevent missed diagnoses when single imaging modalities are inconclusive.
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