A ballooning heart-giant left ventricular apical pseudoaneurysm presenting as congestive heart failure

Abstract

Left ventricular (LV) pseudo aneurysm is a contained rupture of ventricular wall by adherent pericardium or scar tissue. We present a case of a 70 year-old male presented with exertional dyspnea for 2 months and found to have giant LV pseudo aneurysm on transthoracic echocardiogram, cardiac MRI and angiogram. To our knowledge such a large pseudo aneurysm involving LV apex and presenting as congestive heart failure is the first case in literature.

Giant left ventricular pseudoaneurysm following myocardial infarction

“…2 The definitive diagnosis is sometimes delayed, and chronic lesions are commonly discovered during investigations of symptoms such as cardiac failure, angina pectoris, and arrhythmia. [2][3][4][5][6][7] Even though our case presented huge pseudoaneurysmal formation, the diagnosis was delayed (diagnosed 2 months after the onset of acute MI). To prevent catastrophic events, earlier diagnosis based on thorough echographical follow-up examinations is necessary, especially for patients with a history of hemopericardium after acute MI.…”

Seventy‐year‐old patient survives a giant apical LV pseudoaneurysm for 8 years

“…Chest X-ray and coronary angiography can give a clue to this serious diagnosis [4,5]. Ischemic cardiomyopathy with heart failure is the usual consequence in nonruptured pseudoaneurysms, but it is not the common presentation [6].…”