Multimodality imaging in the recurrence of left ventricular pseudoaneurysm after surgical correction

Ana Marques, Daniel Caldeira, Sofia Alegria, Ana Rita Pereira, Alexandra Briosa, Inês Cruz, Ana Rita Almeida, Isabel João, Hélder Pereira
2020 Cardiology Journal  
A 61-year-old male, former smoker and diabetic patient with a previous medical history noted for an inferior myocardial infarction complicated with left ventricular free wall rupture that had been surgically corrected 6 years prior, presented to the cardiology unit complaining of a new-onset dyspnoea, orthopnoea and fatigue which had started over the month prior to presenting. The transthoracic echocardiography showed left ventricular enlargement with a depressed left ventricular ejection
more » ... ular ejection fraction of 35%, and a large cavity communicating with the inferior and inferolateral walls of the left ventricle (aneurysm vs. pseudoaneurysm), without pericardial effusion (Fig. 1A-D) . The cardiac magnetic resonance imaging confirmed a free wall rupture at medial and basal segments of the inferior left ventricular wall with a 11 × 9 × 7 cm aneurysmal chamber, with systolic expansion, containing a large and organized thrombus (Fig. 1E-H) . These findings confirm the diagnosis of a large pseudoaneurysm. Cardiac surgery was performed without complications.
doi:10.5603/cj.2020.0117 fatcat:wnre6aefzff6pdivuvhlcdxbvq