0
Abstract: Case Reports |

Left Ventricular Pseudoaneurysm FREE TO VIEW

Emad H. Ibrahim, MD; Khaled Moghazy, MD
Author and Funding Information

Alexandria Faculty of Medcicine, Alexandria, Egypt


Chest


Chest. 2003;124(4_MeetingAbstracts):268S-269S. doi:10.1378/chest.124.4_MeetingAbstracts.268S
Text Size: A A A
Published online

INTRODUCTION:  Left ventricular aneurysms are a frequent sequela of transmural myocardial infarction. The vast majority is true aneurysms and false are rare (12).CASE PRESENTATIONS: A 53-year-old women presented by recurrent left-sided, sharp chest pain for two months. Her medical history and examination were insignificant. Chest X-ray was unremarkable.Computed tomography (CT) showed a 3.5-cm diameter pseudoaneurysm emanating from the lateral aspect of the left ventricle.Magnetic resonance imaging (MRI) defined a 5x3-cm oval pseudoaneurysm extending from the anterolateral wall of the left ventricle. A jet phenomenon is noted at the site of communication between the cavity of the left ventricle.Cardiac Cineangiography confirmed the presence of a pseudoaneurysmal cavity connected to the left ventricle.DISCUSSION: A pseudoaneurysm is the consequence of rupture of the cardiac wall within extra-cardiac hematoma; its lumen communicates with the ventricle. In CT, the presence of a typical neck is not always diagnostic of a pseudoaneurysm, and sometimes the neck is not clearly demarcated. A keystone in diagnostic imaging with angiography, echocardiography, and radionuclide studies is the visualization of a “typical neck”(12).CONCLUSIONS: The use of combined diagnostic radiology techniques (CT and MRI) and Cardiac cineangiography help in the diagnosis of ventricular pseudoaneurysm.

Chest X-ray PA view.

Axial CT scan shows a pseudoaneurysm (A) emanating from the lateral aspect of the left ventricle (LV).

Postcontrast axial CT scan shows the pseudoaneurysmal cavity (arrow).

Figure [4]: (A, B, C) Cine gradient echo coronal MRI (A) & (B) ECG-gated horizontal long-axis and short axis (C) spin-echo MR images show a narrow ostium (arrow) communicating the pseudoaneurysm (A) and the left ventricular (LV).

Cardiac cineangiography shows a pseudoaneurysmal cavity connected with the left ventricle (arrow).

DISCLOSURE:  E.H. Ibrahim, None.

Monday, October 27, 2003

4:15 PM - 5:45 PM

References

Duvernoy O, et al. Pre- and postoperative CT and MR in pseudoaneurysms of the heart.J Comput Assist Tomogr.1992;16:401–409. [CrossRef]
 
Higgins CB, et al. False aneurysms of the left ventricle. Identification of distinctive clinical, radiographic, and angiographic features.Radiology.1978;127:21–27. [CrossRef]
 

Figures

Tables

References

Duvernoy O, et al. Pre- and postoperative CT and MR in pseudoaneurysms of the heart.J Comput Assist Tomogr.1992;16:401–409. [CrossRef]
 
Higgins CB, et al. False aneurysms of the left ventricle. Identification of distinctive clinical, radiographic, and angiographic features.Radiology.1978;127:21–27. [CrossRef]
 
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543