Huge left ventricular pseudoaneurysm rupture in an African young adult patient

Abstract

A pseudoaneurysm of the ventricle is formed when there is rupture of the myocardial wall with the discontinuity being roofed over by the pericardium and mural thrombus or fibrous tissue without myocardial elements. Cardiac pseudoaneurysm is a rare and a potentially life-threatening event. Early prophylactic surgical aneurysmectomy has been the treatment of choice. In this context, we report an unusual case of giant left ventricular pseudoaneurysm, as a result of unknown aetiology, appearing like a pulsatile mass, which was easily seen from the chest wall, in a young female, successfully treated with surgery.

Left Ventricular Aneurysmectomy in a Young Female of Unknown Etiology with Pseudoaneurysm: A Case Report

“…A similar case report of an LV pseudoaneurysm of unknown etiology was presented by di Summa et al [ 3 ]. The patient was a 29-year-old woman compared with our patient who was 22 years old, with a similar presentation of palpitations, chest pain, and dyspnea.…”

“…The duration of history in our patient was 6–7 years compared with the case report which was 3 months. In the case of di Summa et al [ 3 ], the pseudoaneurysm ruptured after a duration of 3 months, while in our case of 6–7 years of prolonged illness, no complication occurred, probably because of heavy degeneration and fibrous tissue formation, followed by calcification.…”

Left ventricular aneurysmectomy in a young female with pseudoaneurysm of unknown etiology

“…The duration of history in our patient was 6e7 years compared with the case report which was 3 months. In the case of di Summa et al [3], the pseudoaneurysm ruptured after a duration of 3 months, while in our case of 6e7 years of prolonged illness, no complication occurred, probably because of heavy degeneration and fibrous tissue formation, followed by calcification.…”

Left Ventricular Pseudoaneurysm

“…Morphologically, the LVPA communicates with the left ventricular cavity via a narrow neck (11). Davutoglu (8) deliberately narrated the differences between false and true aneurysms: 1)…”