Left ventricular pseudoaneurysm

Abstract

We present a patient who had an LV mass picked up by chance on transthoracic echocardiography. CT scan suggested this to be an LV aneurysm although it did not have appearances typical of this on echocardiography. MRI scan was performed and it showed this mass to be a thrombosed pseudoaneurysm.

Calcified left ventricular aneurysm with apparently normal coronaries—a case report

“…LV aneurysm typically occurs as a rare complication of myocardial infarction [1,5]. Calcified aneurysms have also been reported rarely as congenital entities [4].…”

“…Various imaging methods have been used to diagnose these aneurysms, including two-dimensional echocardiography, computed tomography, magnetic resonance imaging, and LV angiography [5]. However contrast ventriculography and coronary angiography seem necessary to evaluate the location and anatomy of the aneurysm and the state of the coronary arteries thus guiding optimal management.…”

“…It is recognized that congestive heart failure is the most common presentation of such aneurysms, followed by angina, ventricular arrhythmias, and embolisation [5,6].…”

Surgical Treatment of a Giant Postero-Inferior Left Ventricular Pseudoaneurysm Causing Severe Mitral Insufficiency and Congestive Heart Failure

“…Pseudoaneurysms, which are the result of ventricular free wall rupture, limited by the overlying adherent pericardium and thrombi, typically have a neck that is narrower than the diameter of the aneurysm. 3,5) Some certain exceptions in this case will be discussed in this report. Initially, it showed us that left ventricular pseudoaneurysm could evolve despite early revascularization.…”

Postinfarction left ventricular pseudoaneurysm with left-to-right shunt: Case report and review of the literature

“…Left ventricular pseudoaneurysms characteristically have a narrow neck (50% smaller than the maximum diameter of the aneurysm) at the site of rupture and an abrupt transition from normal myocardium to aneurysm [1]. Color Doppler ultrasound can also be useful in distinguishing a pseudoaneurysm from other abnormalities, such as pericardial effusion [11]. Currently, MRI is considered the most powerful tool for detection and characterization of ventricular aneurysms [12].…”