A Rare Case of Fatal Left Ventricular Free Wall Rupture: Case Report and Short Review

Abdelnaby, Mahmoud; Saleh, Yehia; Haleem, Muhammad Abdul; Elamin, Ashraf; Hammad, Basma

doi:10.4172/2329-9517.1000290

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…The ideal imaging modalities for separating pseudo-aneurysm from true aneurysm are CT and cardiac MRI because they offer superior spatial resolution and tissue definition to identify the myocardium from scar tissue and the pericardium. 11 Due to mechanical valve replacement, we have not done a cardiac MRI, so instead we have requested a CT angiogram to differentiate between an aneurysm and a pseudoaneurysm. Due to its high risk of catastrophic rupture, urgent surgical intervention is crucial in the treatment of this condition.…”

Section: Discussionmentioning

confidence: 99%

Left Ventricular Thrombosed Pseudoaneurysm as a Delayed Complication of Myxoma Resection and Mitral Valve Replacement: A Unique Case Report

Hassan¹,

Öcal²,

Waberi³

et al. 2023

RRCC

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A pseudoaneurysm of the left ventricle (LV) is a partial cardiac rupture surrounded by a pericardium that retains a connection with the LV lumen. Case Presentation:We present here a 30-year-old patient who came to our clinic for a routine check-up with no symptoms or complaints. After performing echocardiography, the patient's echocardiography demonstrated a left ventricular pseudo-aneurysm which had collected a massive amount of thrombus. Three years earlier, the patient had a left atrial myxoma excision with mechanical mitral valve replacement following a presentation with shortness of breath. Clinical discussion: Left ventricular pseudo-aneurysm is a hazardous complication of mostly myocardial infraction and certain cardiac procedures, such as mitral valve replacement, where it may lead to thrombus formation. Due to this condition's serious risk of lethal rupture and embolization from thrombus formation, as in our case, immediate surgical intervention is essential for its treatment. Conclusion: Left ventricular pseudo-aneurysm is an abnormal finding post-cardiac surgery, and it should be considered during patient evaluation after the surgery immediately and later in life.

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Section: Discussionmentioning

confidence: 99%

Left Ventricular Thrombosed Pseudoaneurysm as a Delayed Complication of Myxoma Resection and Mitral Valve Replacement: A Unique Case Report

Hassan¹,

Öcal²,

Waberi³

et al. 2023

RRCC

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“…Transthoracic echocardiogram (TTE) is the gold standard for diagnosing LV rupture 7 12 13. Pericardial effusion is the usual finding.…”

Section: Discussionmentioning

confidence: 99%

“…TTE offers a 100% sensitivity and 93% specificity for diagnosis 13. In the case of a diagnostic dilemma, a CT scan is useful 12. Cardiac MRI is a useful investigation to do in a non-acute setting to prepare the patient for surgery 12 14 15…”

Section: Discussionmentioning

confidence: 99%

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Left ventricular rupture: a rare complication and an unusual presentation

et al. 2020

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Myocardial infarction (MI) is a relatively common medical condition in the community. A rare complication of acute MI is left ventricular rupture (LV) rupture. This usually follows a transmural infarct. The incidence of this is 2%–4% and this usually happens within 3–7 days of MI. The anterolateral wall is involved in the majority of cases. Atypical presentations can occur several weeks after the initial event. Symptoms may mimic gastrointestinal disorder. The prognosis of this condition is very grim. However, with appropriate treatment, they can make an excellent recovery. The definitive treatment for this is surgical repair. We present the case of a 70-year-old man who had LV rupture and his clinical journey.

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