1
|
Arora GS, Kaur Gill T. Critical insights into the diagnosis and management of post-myocardial infarction left ventricular aneurysm of the inferior wall: a case report and brief review. Arch Med Sci Atheroscler Dis 2024; 9:e147-e151. [PMID: 39086616 PMCID: PMC11289232 DOI: 10.5114/amsad/189733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Accepted: 06/06/2024] [Indexed: 08/02/2024] Open
Affiliation(s)
| | - Tanveen Kaur Gill
- Sri Guru Ram Das Institute of Medical Science and Research, Amritsar, India
| |
Collapse
|
2
|
Liu Y, Xu G, Shi F, Yang J, Gou R, Chen Z, Cao L. Case Report: A left ventricular pseudoaneurysm detected by cardiac magnetic resonance more than 1 year after a percutaneous transluminal coronary intervention. Front Cardiovasc Med 2024; 11:1348750. [PMID: 38576419 PMCID: PMC10991743 DOI: 10.3389/fcvm.2024.1348750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 02/29/2024] [Indexed: 04/06/2024] Open
Abstract
Pseudoaneurysm is a rare but lethal complication of acute myocardial infarction. In this study, we present a unique case of a patient with left ventricular free wall rupture detected by cardiac magnetic resonance more than 1 year after a percutaneous transluminal coronary intervention.
Collapse
Affiliation(s)
- Yuanyuan Liu
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China
| | - Ge Xu
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China
| | - Funan Shi
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, China
| | - Jing Yang
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- Lanzhou University Second Hospital, Lanzhou University, Lanzhou, Gansu, China
| | - Ruiqiang Gou
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China
| | - Zixian Chen
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- Intelligent Imaging Medical Engineering Research Center of Gansu Province, Lanzhou, Gansu, China
- Accurate Image Collaborative Innovation International Science and Technology Cooperation Base of Gansu Province, Lanzhou, Gansu, China
- Radiological Clinical Medicine Research Center of Gansu Province, Lanzhou, Gansu, China
| | - Liang Cao
- Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, China
- Intelligent Imaging Medical Engineering Research Center of Gansu Province, Lanzhou, Gansu, China
- Accurate Image Collaborative Innovation International Science and Technology Cooperation Base of Gansu Province, Lanzhou, Gansu, China
- Radiological Clinical Medicine Research Center of Gansu Province, Lanzhou, Gansu, China
| |
Collapse
|
3
|
Kurdi M, Baranga L, Singh R, Scott J. Left ventricular pseudoaneurysm as a complication of LVAD explant. Radiol Case Rep 2024; 19:234-238. [PMID: 38028297 PMCID: PMC10630764 DOI: 10.1016/j.radcr.2023.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 09/29/2023] [Accepted: 10/06/2023] [Indexed: 12/01/2023] Open
Abstract
Left ventricular (LV) pseudoaneurysms are a rare disease entity associated with a multitude of etiologies. We describe the radiographic findings of an LV pseudoaneurysm arising as a complication of a leaking left ventricular assist device (LVAD) closure device. Computed tomographic angiography (CTA) imaging demonstrated an apical LV wall defect with a preperitoneal collection of extravasated contrast. A review of the patient's surgical history revealed prior LVAD placement and explant with placement of an LV closure device. Familiarity with the radiologic manifestation of LV pseudoaneurysms is critical to establish a prompt diagnosis and facilitate timely therapeutic intervention.
Collapse
Affiliation(s)
- Mohanad Kurdi
- Kings County Hospital Center, 451 Clarkson Ave, Brooklyn, NY 11203 USA
- SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 USA
| | - Latika Baranga
- Kings County Hospital Center, 451 Clarkson Ave, Brooklyn, NY 11203 USA
- SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 USA
| | - Rohindeep Singh
- Kings County Hospital Center, 451 Clarkson Ave, Brooklyn, NY 11203 USA
- SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 USA
| | - Jinel Scott
- Kings County Hospital Center, 451 Clarkson Ave, Brooklyn, NY 11203 USA
- SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 USA
| |
Collapse
|
4
|
Elkattawy S, Romero J, Romero AL, Elkattawy O, Patel R, Shamoon R, Shamoon F. Contained Left Ventricular Free Wall Rupture Following a Silent Myocardial Infarction. J Community Hosp Intern Med Perspect 2023; 13:5-7. [PMID: 38596559 PMCID: PMC11000830 DOI: 10.55729/2000-9666.1240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/08/2023] [Accepted: 06/27/2023] [Indexed: 04/11/2024] Open
Abstract
A left ventricular pseudoaneurysm (LVP) is defined as an outpouching contained by the surrounding pericardium. Clinical presentation is often unspecific with patients presenting with chest pain, dyspnea, symptoms consistent with heart failure, and post-myocardial infarction. Cardiac magnetic resonance imaging represents an important tool for differentiating a pseudoaneurysm from a true aneurysm. Furthermore, multiple imagining modalities are available, including transesophageal and transthoracic echocardiogram and contrast ventriculography, which remains the gold standard diagnostic technique. Early recognition and prompt surgical management are of utmost importance in patients with acute and symptomatic LVP. On the other hand, medical management may be considered in patients with chronic and small pseudoaneurysms. Here, we are presenting a 74-year-old lady who presented with chest pain and was found to have a chronic and small LVP which was managed conservatively.
Collapse
Affiliation(s)
- Sherif Elkattawy
- Cardiology Department, St. Joseph’s University Medical Center, Paterson, NJ,
USA
| | - Jesus Romero
- Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ,
USA
| | - Ana L. Romero
- Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ,
USA
| | - Omar Elkattawy
- Internal Medicine Department, Rutgers University-New Brunswick, Jersey City, NJ,
USA
| | - Roma Patel
- Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ,
USA
| | - Razan Shamoon
- Cardiology Department, St. Joseph’s University Medical Center, Paterson, NJ,
USA
| | - Fayez Shamoon
- Cardiology Department, St. Joseph’s University Medical Center, Paterson, NJ,
USA
| |
Collapse
|
5
|
Toluian T, Valenti Pittino C, Bombaci F, Viani G, Oliva G, Cellina M. A rare case of a right ventricular Pseudo-aneurysm, related to an attempted suicide. J Cardiol Cases 2022; 25:58-60. [PMID: 35024072 DOI: 10.1016/j.jccase.2021.06.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 05/16/2021] [Accepted: 06/23/2021] [Indexed: 11/28/2022] Open
Abstract
We present the case of a 74-year-old female who attempted suicide by stabbing repeatedly with a nail scissor in the sub-sternal chest. Chest Computed Tomography (CT) performed at her arrival at our emergency department detected the presence of massive pericardial effusion. A follow-up cardiac CT after the pericardial drainage showed a Pseudo-aneurysm of the anterior wall of the right ventricle. <Learning objective: The evidence of post-traumatic right ventricular pseudo-aneurysm is a rare finding. Due to the challenge of diagnosis and potential fatality of this rare condition, it is important to be aware of its occurrence and to refine its recognition with imaging examinations.>.
Collapse
Affiliation(s)
- Tahereh Toluian
- Post-graduate School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy
| | - Carlo Valenti Pittino
- Post-graduate School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy
| | | | - Giacomo Viani
- Department of Cardiology, ASST Fatebenefratelli Sacco, Milan, Italy
| | - Giancarlo Oliva
- Department of Radiology, ASST Fatebenefratelli Sacco, Milan, Italy
| | - Michaela Cellina
- Department of Radiology, ASST Fatebenefratelli Sacco, Milan, Italy
| |
Collapse
|
6
|
Amaqdouf S, Rasras H, Hbali A, Boulouiz S, Ismaili N, El Ouafi N. Submitral aneurysm: An unusual localization of aneurysm complicating a myocardial infarction: A case report. Ann Med Surg (Lond) 2021; 72:103042. [PMID: 34868571 PMCID: PMC8626648 DOI: 10.1016/j.amsu.2021.103042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/03/2021] [Accepted: 11/09/2021] [Indexed: 12/01/2022] Open
Abstract
Introduction and importance: Submitral aneurysms are an uncommon heart condition that is widespread among young black Africans, congenital etiology is the most common, when SMA is found in patients of other races, other etiologies must be sought, especially ischemic. Case presentation We present the case of a 65-year-old male patient admitted for wide complex tachycardia at a rate of 198 bpm, in whom transthoracic echocardiography revealed a submitral aneurysm and coronary angiography revealed an occlusion of the left circumflex artery. Clinical discussion Submitral left ventricular aneurysm is a rare cardiac pathology with a variety of causes including inflammation, infection, traumatic illness, or, in rare cases, ischemic heart disease; it can be caused by a congenital defect in the posterior portion of the mitral annulus, which is more common in African population. Clinical manifestations are frequently serious and alarming, such as ventricular tachycardia, cardiogenic shock or an embolic phenomenon; however, asymptomatic cases are possible. Conclusion What we can retain from our case is that SMA can be the cause or consequence of coronary ischemia, so we must be vigilant in patients with an atypical clinical presentation. Submitral aneurysms are a rare cardiac abnormality They are more common in young black Africans Congenital etiology is the most implicated but when they are found in other races, other possible etiologies must be researched.
Collapse
Affiliation(s)
- Saîda Amaqdouf
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - Hammam Rasras
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - Anas Hbali
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - Soumia Boulouiz
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - Nabila Ismaili
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco.,Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - Noha El Ouafi
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco.,Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| |
Collapse
|
7
|
Roberts CE, Rana HN, Wood B, Hussain Z. Incidental Discovery of a Left Ventricular Aneurysm After a Syncopal Episode. Cureus 2021; 13:e17979. [PMID: 34660158 PMCID: PMC8516026 DOI: 10.7759/cureus.17979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2021] [Indexed: 11/05/2022] Open
Abstract
A left ventricular aneurysm is a rare post myocardial infarction complication. Ventricular aneurysms form as post-ischemic cardiac remodeling creates a weaker, fibrotic area that may bulge outwards against interventricular pressures over time. Patients with ventricular aneurysms have increased mortality and are at higher risk of various cardiac complications, such as cardiac arrest, arrhythmias, thrombus formation, reduced cardiac output, or aneurysmal rupture. Prompt diagnosis and treatment are critically important in these patients. We highlight the hospital course of a patient with an extensive cardiac history presenting for syncope with the discovery of a left ventricular aneurysm. The radiographic features of the left ventricular aneurysm are described, as well as formation, risk factors, and complications.
Collapse
Affiliation(s)
| | | | - Brian Wood
- Interventional Radiology, University of South Alabama, Mobile, USA
| | - Zeiad Hussain
- Interventional Radiology, University of South Alabama, Mobile, USA
| |
Collapse
|
8
|
Cardiac Outpouchings: Definitions, Differential Diagnosis, and Therapeutic Approach. Cardiol Res Pract 2021; 2021:6792643. [PMID: 34567801 PMCID: PMC8463251 DOI: 10.1155/2021/6792643] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/30/2021] [Indexed: 02/06/2023] Open
Abstract
Background and Aims Cardiac outpouchings encounter a series of distinct congenital or acquired entities (i.e. aneurysms, pseudoaneurysms, diverticula, and herniations), whose knowledge is still poorly widespread in clinical practice. This review aims to provide a comprehensive overview focusing on definition, differential diagnosis, and prognostic outcomes of cardiac outpouchings, as well as further insights on therapeutic options, in order to assist physicians in the most appropriate decision-making. Methods The material reviewed was obtained by the following search engines: MEDLINE (PubMed), EMBASE, Google Scholar, and Clinical Trials databases, from January 1966 until March 2021. We searched for the following keywords (in title and/or abstract): (“cardiac” OR “heart”) AND (“outpouching” OR “outpouch” OR “aneurysm” OR “pseudoaneurysm” OR “false aneurysm” OR “diverticulum” OR “herniation”). Review articles, original articles, case series, and case reports with literature review were included in our search. Data from patients with congenital or acquired cardiac outpouchings, from prenatal to geriatric age range, were investigated. Results Out of the 378 papers initially retrieved, 165 duplicates and 84 records in languages other than English were removed. Among the 129 remaining articles, 76 were included in our research material, on the basis of the following inclusion criteria: (a) papers pertaining to the research topic; (b) peer-reviewed articles; (c) using standardized diagnostic criteria; and (d) reporting raw prevalence data. Location, morphologic features, wall motion abnormalities, and tissue characterization were found to have a significant impact in recognition and differential diagnosis of cardiac outpouchings as well as to play a significant role in defining their natural history and prognostic outcomes. Conclusions Careful recognition of cardiac outpouchings remains a diagnostic challenge in clinical practice. Due to a broad cluster of distinctive and heterogeneous entities, their knowledge and timely recognition play a pivotal role in order to provide the most appropriate clinical management and therapeutic approach.
Collapse
|
9
|
Zouari F, Tlili R, Azaiez F, Zayed S, Ben Romdhane R, Ziadi J, Ben Ameur Y. Thrombosed left ventricular pseudoaneurysm following myocardial infarction: a case report. J Med Case Rep 2021; 15:258. [PMID: 33941252 PMCID: PMC8094605 DOI: 10.1186/s13256-021-02709-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 01/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Pseudoaneurysm of inferior wall of the left ventricle is an uncommon complication of myocardial infarction with high mortality. CASE PRESENTATION We report the case of a 63-year-old Tunisian man, diagnosed with a thrombosed left ventricular pseudoaneurysm and a pericardial effusion after 1 week of angina. CONCLUSIONS Left ventricular pseudoaneurysm is a serious complication of myocardial infarction that has atypical presentations. Diagnosis is generally established by transthoracic echocardiography but confirmed by magnetic resonance imaging. Urgent surgery is the treatment choice given the risk of embolization and rupture.
Collapse
Affiliation(s)
- Fatma Zouari
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia.
| | - Rami Tlili
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia
| | - Fares Azaiez
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia
| | - Sofien Zayed
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia
| | - Rim Ben Romdhane
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia
| | - Jalel Ziadi
- Department of Cardiovascular Surgery, La Rabta University Hospital, Tunis, Tunisia
| | - Youssef Ben Ameur
- Department of Cardiology, Mongi Slim University Hospital, La Marsa, Tunis, Tunisia
| |
Collapse
|
10
|
Surgical Treatment of Chronic Giant Left Ventricular Pseudoaneurysm. Case Rep Cardiol 2021; 2021:4308690. [PMID: 33628516 PMCID: PMC7892212 DOI: 10.1155/2021/4308690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 12/20/2020] [Accepted: 01/31/2021] [Indexed: 11/29/2022] Open
Abstract
Left ventricle pseudoaneurysm is usually a severe complication of acute myocardial infarction, caused by rupture of the myocardial wall with pericardium bleeding. Mortality can reach 50 to 80% within a week if not properly treated. Hemodynamic instability, cardiac tamponade, and cardiac arrest are life-threatening presentations that require surgical treatment. We report a case of a man with a left ventricle chronic giant pseudoaneurysm and unspecific symptoms. After critical judgement on a heart team basis, surgical treatment was successfully performed, with a good long-term clinical outcome.
Collapse
|
11
|
Bennour E, Sghaier A, Jemel A, Laroussi L, Ikram K, Marrakchi S, Henda N, Salem K. A giant calcified aneurysm of the basal inferior wall: a rare phenomenon. Pan Afr Med J 2020; 37:193. [PMID: 33505562 PMCID: PMC7813658 DOI: 10.11604/pamj.2020.37.193.26214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 10/20/2020] [Indexed: 11/11/2022] Open
Abstract
Left ventricular aneurysms (LVA) are mainly a late consequence of transmural myocardial infarction. Approximately 80% of LVA are located in the anterior and/or apical walls, most commonly associated with left anterior descending artery occlusion but any region may be engaged. Basal inferior wall aneurysms are rare and constitute nearly 3% of all LVA. A calcified LVA is seldom observed in modern clinical practice. And a calcified basal inferior LVA is an even rarer coincidence. We report a case of an 82-year-old women with life threatening arrhythmia revealing a giant calcified aneurysm of the basal inferior wall, medically treated with good outcomes. The exact incidence of left ventricular aneurysms (LVA) following myocardial infarctions is hard to precise but it is clearly decreasing. Eighty percent (80%) of LVA are located in the anterior or apical walls, but any region may be engaged. Basal inferior wall aneurysms constitute 3% of all LVA. Echocardiography is the first diagnostic tool and there is still no clear guidelines on how to treat LVAs. Surgery is preferred but medical treatment may help improve the quality of life.
Collapse
Affiliation(s)
- Emna Bennour
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Ahmed Sghaier
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Amine Jemel
- Cardiothoracic Surgery Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Lobna Laroussi
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Kamoun Ikram
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Sonia Marrakchi
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Neji Henda
- Radiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| | - Kachboura Salem
- Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia
| |
Collapse
|
12
|
Manasewitsch NT, Antwi-Amoabeng D, Lu E, Beutler BD, Rowan CJ. An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position. Cureus 2020; 12:e10245. [PMID: 32923295 PMCID: PMC7478668 DOI: 10.7759/cureus.10245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram. We report an unusual presentation of LV pseudoaneurysm and discuss a possible link between Trendelenburg position and the development of LV pseudoaneurysm.
Collapse
|
13
|
Lizano-Santamaria R, Cohen M, Atkins M, Collazo L. Left Ventricular Aneurysm in a Child After Recovering From Dilated Cardiomyopathy. World J Pediatr Congenit Heart Surg 2020; 11:515-517. [PMID: 32400272 DOI: 10.1177/2150135120908208] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Left ventricular aneurysms are extremely rare in children. A child developed an aneurysm a year after recovering from idiopathic dilated cardiomyopathy. The initial management was conservative. After several years and due to aneurysm enlargement and other complications, the patient underwent successful aneurysm surgical repair with left ventricular aneurysmorrhaphy. We describe our experience treating this child during the course of this disease.
Collapse
Affiliation(s)
| | - Mitchell Cohen
- Department of Pediatric Cardiology, Inova Children's Hospital, Falls Church, VA, USA
| | - Melany Atkins
- Department of Cardiothoracic Surgery, Inova Children's Hospital, Falls Church, VA, USA
| | - Lucas Collazo
- Department of Cardiac Imaging, Inova Children's Hospital, Falls Church, VA, USA
| |
Collapse
|
14
|
Left ventricle lateral wall calcified aneurysm. Coron Artery Dis 2020; 32:177-178. [PMID: 32398573 DOI: 10.1097/mca.0000000000000894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
15
|
A Latin American Patient With a Left Ventricular Pseudoaneurysm Presenting With Progressive Dyspnea and Palpitations. Am J Med 2020; 133:e180-e182. [PMID: 31712095 DOI: 10.1016/j.amjmed.2019.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 10/07/2019] [Accepted: 10/07/2019] [Indexed: 11/21/2022]
|
16
|
Chavarri F, Pinto M, Torres Y, Adrianzén V, de Guzmán IN, Esqueche E. Unconventional Surgical Intervention for Left Ventricular Pseudoaneurysm Associated With Staphylococcus aureus in a Pediatric Patient. World J Pediatr Congenit Heart Surg 2020; 11:509-511. [PMID: 32323616 DOI: 10.1177/2150135120905658] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Ventricular pseudoaneurysms are very unusual in children. A six-year-old child developed left ventricular pseudoaneurysm associated with methicillin-sensitive Staphylococcus aureus. The patient responded favorably to antibiotic therapy and ventriculoplasty through an unconventional surgery due to the constrictive pericarditis.
Collapse
Affiliation(s)
- Fernando Chavarri
- Pediatric Cardiovascular Surgery Service, Instituto Nacional Cardiovascular "Carlos Peschiera Carrillo," Lima, Peru.,Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Miguel Pinto
- Universidad Nacional Mayor de San Marcos, Lima, Peru.,Sociedad Científica de San Fernando, Lima, Peru
| | - Yeli Torres
- Universidad Nacional Mayor de San Marcos, Lima, Peru.,Sociedad Científica de San Fernando, Lima, Peru
| | - Valeria Adrianzén
- Universidad Nacional Mayor de San Marcos, Lima, Peru.,Sociedad Científica de San Fernando, Lima, Peru
| | - Ivan Niño de Guzmán
- Pediatric Cardiovascular Surgery Service, Instituto Nacional Cardiovascular "Carlos Peschiera Carrillo," Lima, Peru
| | - Eduardo Esqueche
- Universidad Nacional Mayor de San Marcos, Lima, Peru.,Pediatric Thoracic and Cardiovascular Surgery Service, Instituto Nacional de Salud del Niño de Breña, Lima, Peru
| |
Collapse
|
17
|
Ashikuzzaman M, Belasso C, Kibria MG, Bergdahl A, Gauthier CJ, Rivaz H. Low Rank and Sparse Decomposition of Ultrasound Color Flow Images for Suppressing Clutter in Real-Time. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:1073-1084. [PMID: 31535988 DOI: 10.1109/tmi.2019.2941865] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
In this work, a novel technique for real-time clutter rejection in ultrasound Color Flow Imaging (CFI) is proposed. Suppressing undesired clutter signal is important because clutter prohibits an unambiguous view of the vascular network. Although conventional eigen-based filters are potentially efficient in suppressing clutter signal, their performance is highly dependent on proper selection of a clutter to blood boundary which is done manually. Herein, we resolve this limitation by formulating the clutter suppression problem as a foreground-background separation problem to extract the moving blood component. To that end, we adapt the fast Robust Matrix Completion (fRMC) algorithm, and utilize the in-face extended Frank-Wolfe method to minimize the rank of the matrix of ultrasound frames. Our method automates the clutter suppression process, which is critical for clinical use. We name the method RAPID (Robust mAtrix decomPosition for suppressIng clutter in ultrasounD) since the automation step can substantially streamline clutter suppression. The technique is validated with simulation, flow phantom and two sets of in-vivo data. RAPID code as well as most of the data in this paper can be downloaded from RAPID.sonography.ai.
Collapse
|
18
|
Hinton J, Hunter G, Dissanayake M, Hatrick R. Acute respiratory distress secondary to a huge chronic left ventricular pseudo-aneurysm. Echo Res Pract 2019; 6:K19-K22. [PMID: 31579523 PMCID: PMC6766756 DOI: 10.1530/erp-19-0018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 08/29/2019] [Indexed: 11/08/2022] Open
Abstract
Pseudo-aneurysms are a rare, potentially life-threatening complication of a myocardial infarction. We present the case of a 45-year-old male who was brought to the emergency department in extremis and had a previous history of a late presentation inferior ST-elevation myocardial infarction treated percutaneously. Clinical examination revealed evidence of cardiogenic shock, pulmonary edema and a pulsatile epigastric mass. Chest X-ray demonstrated marked cardiomegaly and pulmonary edema. Urgent echocardiography confirmed the presence of a huge basal inferior wall pseudo-aneurysm with bi-directional flow. This was also associated with severe mitral regurgitation, due to posterior mitral annular involvement. The patient was transferred to the local cardiothoracic surgical unit where he underwent emergency repair of the pseudo-aneurysm and mitral valve replacement. Despite the surgery being complex he made a full recovery.
Collapse
Affiliation(s)
- Jonathan Hinton
- Cardiology Department, University Hospital Southampton, Southampton, UK
| | - George Hunter
- Cardiology Department, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK
| | - Madhava Dissanayake
- Cardiology Department, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK
| | - Rob Hatrick
- Cardiology Department, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK
| |
Collapse
|
19
|
Hernandez M, Gray S, Kanyadan V, Rosario J, Ganti L. Incidental Left Ventricular Aneurysm Discovered after Chest Pain Following a Motor Vehicle Collision. Cureus 2019; 11:e5798. [PMID: 31728245 PMCID: PMC6827851 DOI: 10.7759/cureus.5798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
We report the case of a female with a history of coronary artery disease who came in with chest pain after a motor vehicle collision. Imaging revealed an incidental left ventricular aneurysm. The presentation and management of left ventricular aneurysms are discussed, along with imaging findings on computed tomography, plain radiography, and ultrasonography.
Collapse
Affiliation(s)
- Michelle Hernandez
- Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA
| | - Sanjiv Gray
- Surgery, University of Central Florida College of Medicine, Orlando, USA
| | | | - Javier Rosario
- Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA
| | - Latha Ganti
- Emergency Medicine, Envision Physician Services, Orlando, USA
| |
Collapse
|
20
|
Fernández-Trujillo L, Bolaños JE, Velásquez M, García C, Sua LF. Primary effusion lymphoma in a human immunodeficiency virus-negative patient with unexpected unusual complications: a case report. J Med Case Rep 2019; 13:301. [PMID: 31543075 PMCID: PMC6755706 DOI: 10.1186/s13256-019-2221-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 08/06/2019] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Primary effusion lymphoma is a rare, high-grade non-Hodgkin's lymphoma that usually occurs in immunosuppressed or human immunodeficiency virus-positive individuals in advanced stages of the disease. However, primary effusion lymphoma occasionally affects immunocompetent patients who are infected with human herpes virus type 8 or Epstein-Barr virus. This disease manifests with liquid collections in cavities, producing constitutional symptoms; fever; weight loss; and symptoms related to extrinsic compression, such as dyspnea or abdominal discomfort. Diagnosis is confirmed with cytological or tissue evaluation showing large, multinucleated lymphoid cells with positive specific markers for the disease, such as CD45 and markers related to viral infections, when present. There is no standard treatment for primary effusion lymphoma, but several chemotherapy protocols are recommended, usually with poor results. CASE PRESENTATION We present a case of an adult human immunodeficiency virus-negative Hispanic origin woman with primary effusion lymphoma with pleuritic, pericardial, and peritoneal compromise who also had unusual complications during a diagnostic procedure: the accidental rupture of the left ventricle and the development of a secondary left ventricular pseudoaneurysm. We describe the clinical, radiological, and laboratory characteristics as well as the outcome of this case. CONCLUSIONS Primary effusion lymphoma is a very rare entity that represents 4% of non-Hodgkin's lymphoma cases associated with human immunodeficiency virus and 0.1% to 1% of all lymphomas in patients with another type of immunodeficiency in regions where human herpes virus type 8 is not endemic. This reported case is an unusual presentation of primary effusion lymphoma because it occurred in an immunocompetent human immunodeficiency virus-negative adult woman without the presence of Kaposi's sarcoma or Castleman's disease and for whom the clinical course after chemotherapy was successful. However, the rupture of the free wall of the left ventricle is a very rare catastrophic event that usually occurs after myocardial infarction. Left ventricle free wall rupture rarely goes unnoticed, but when it occurs, it leads to the development of a ventricular pseudoaneurysm in which the rupture is contained by the pericardium with an organized thrombus and an adjacent hematoma.
Collapse
Affiliation(s)
- Liliana Fernández-Trujillo
- Department of Internal Medicine, Pulmonology Service, Interventional Pulmonology, Fundación Valle del Lili, Avenida Simón Bolívar, Cra 98 No. 18-49, Fundación Valle del Lili. Tower 6, 4th Floor, Office 446, 760032, Cali, Colombia. .,Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.
| | - John E Bolaños
- Faculty of Health Sciences, Universidad Icesi, Cali, Colombia
| | - Mauricio Velásquez
- Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.,Department of Surgery, Thoracic Surgery Service, Fundación Valle del Lili, Cali, Colombia
| | - Carlos García
- Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.,Department of Radiology, Fundación Valle del Lili , Cali, Colombia
| | - Luz F Sua
- Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.,Department of Pathology and Laboratory Medicine, Fundación Valle del Lili, Cali, Colombia
| |
Collapse
|
21
|
Montrief T, Davis WT, Koyfman A, Long B. Mechanical, inflammatory, and embolic complications of myocardial infarction: An emergency medicine review. Am J Emerg Med 2019; 37:1175-1183. [DOI: 10.1016/j.ajem.2019.04.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 04/03/2019] [Indexed: 12/31/2022] Open
|
22
|
Krueger M, Cronin P, Sayyouh M, Kelly AM. Significant incidental cardiac disease on thoracic CT: what the general radiologist needs to know. Insights Imaging 2019; 10:10. [PMID: 30725202 PMCID: PMC6365314 DOI: 10.1186/s13244-019-0693-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 01/10/2019] [Indexed: 12/20/2022] Open
Abstract
Objective Incidental cardiac findings are often found on chest CT studies, some of which may be clinically significant. The objective of this pictorial review is to illustrate and describe the appearances and management of the most frequently encountered significant cardiac findings on non-electrocardiographically gated thoracic CT. Most radiologists will interpret multidetector chest CT and should be aware of the imaging appearances, significance, and the appropriate next management steps, when incidental significant cardiac disease is encountered on thoracic CT. Conclusion This article reviews significant incidental cardiac findings which may be encountered on chest CT studies. After completing this review, the reader should not only be familiar with recognizing clinically significant cardiac findings seen on thoracic CT examinations but also have the confidence to direct their further management.
Collapse
Affiliation(s)
- Maren Krueger
- Fulford Radiology, Base Hospital, Private Bag 2016, New Plymouth, Taranaki, 4342, New Zealand
| | - Paul Cronin
- Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA
| | - Mohamed Sayyouh
- Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA
| | - Aine Marie Kelly
- Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
| |
Collapse
|
23
|
Babb DE, Vera-Arroyo A, Rodriquez-Blanco Y, Fabbro M. An Unusual Suspect in a Case of Left Ventricular Aneurysm. J Cardiothorac Vasc Anesth 2019; 33:2344-2348. [PMID: 30709593 DOI: 10.1053/j.jvca.2019.01.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Indexed: 11/11/2022]
Abstract
True left ventricular aneurysms are most frequently seen after acute transmural myocardial infarction. These aneurysms are distinct from apical left ventricular pseudoaneurysms, which can also be seen in ischemia, and have a different treatment course. A major dilemma for clinicians is using echocardiographic information to make this distinction. Coronary angiography aids in this distinction; however, in the case of normal coronaries alternate etiologies must be considered. The differential for a patient with a left ventricular aneurysm and normal coronaries or no prior cardiac surgery is broad and includes traumatic, infectious and infiltrative causes. In this e-challenge, we present an unusual cause of a left ventricular apical aneurysm in a patient with normal coronary arteries residing in the United States.
Collapse
Affiliation(s)
- Danielle E Babb
- Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL.
| | - Arnaldo Vera-Arroyo
- Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL; Miami Veteran's Health Administration, Miami, FL
| | | | - Michael Fabbro
- Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL
| |
Collapse
|
24
|
D'Antuono F, Stanzione A, Tucci AG, Pizza S, Venetucci P. An unusual cause of acute thoracic pain: left ventricular pseudoaneurysm. Intern Emerg Med 2018; 13:1329-1331. [PMID: 30022396 DOI: 10.1007/s11739-018-1911-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Felice D'Antuono
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy.
| | - Arnaldo Stanzione
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Anna Giacoma Tucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Silvia Pizza
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| |
Collapse
|
25
|
Koutsampasopoulos K, Grigoriadis S, Vogiatzis I. Exertional dyspnea after myocardial infarction: thinking beyond the diagnosis of heart failure. J Int Med Res 2018; 46:4769-4774. [PMID: 30185091 PMCID: PMC6259387 DOI: 10.1177/0300060518785834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION We herein present an unusual case of a pseudoaneurysm of the left ventricular myocardium, which is a rare and fatal complication of myocardial infarction. CASE REPORT A 64-year-old man with a history of bipolar disorder and arterial hypertension was hospitalized for delayed presentation ST-elevation myocardial infarction. He was admitted to our hospital 24 hours after symptom onset. Diagnostic coronary angiography revealed 95% stenosis at the distal third of the right coronary artery, and he underwent a primary percutaneous coronary intervention to the culprit lesion. Despite administration of a diuretic and optimization of other pharmaceutical treatment, his heart failure deteriorated. Electrocardiography showed a sinus rhythm with Q-wave formation in the inferior wall leads (II, III, aVF), T-wave inversion in the same leads, and borderline QT prolongation (QTc of 490 ms). No ST elevation suggestive of left ventricular aneurysm formation was noticed. Forty days later, cardiac ultrasound revealed a dyskinetic cavity (pseudoaneurysm) in continuity with the posterior-inferior wall of the myocardium, resulting in severe mitral valve regurgitation. Unfortunately, the patient died while awaiting surgical treatment. CONCLUSION Although most patients with left ventricular pseudoaneurysm have a relatively benign outcome, those with symptoms of heart failure must be urgently diagnosed and treated.
Collapse
|
26
|
Affiliation(s)
- Karen M Marzlin
- Karen M. Marzlin is a cardiology APRN and Business Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4565 Venus Rd, Uniontown, OH 44685
| |
Collapse
|
27
|
Left ventricular outflow tract pseudoaneurysm diagnosed with point-of-care ultrasound in the emergency department. CAN J EMERG MED 2018; 20:798-801. [PMID: 29547367 DOI: 10.1017/cem.2018.20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Left ventricular outflow tract pseudoaneurysms are a rare but life-threatening disorder, often caused by complications of cardiac surgery or myocardial infarction. We present a case report of a patient with no prior risk factors who presented with a six-month history of progressive exertional dyspnea, bilateral leg swelling and cough. Point-of-care ultrasound revealed an unexpected outpouching of the left ventricle. He was diagnosed with a left ventricular outflow tract pseudoaneurysm and subsequently went into cardiogenic shock secondary to extension of pseudoaneurysm causing extrinsic compression of the coronary arteries. The patient underwent successful emergency surgical repair and made a full recovery.
Collapse
|
28
|
Wang L, Cao X, Xue J, Li H, Shi L, Men Y. Echocardiographic features of right ventricular diverticulum: A case report. JOURNAL OF CLINICAL ULTRASOUND : JCU 2017; 45:531-534. [PMID: 28880385 DOI: 10.1002/jcu.22445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 10/27/2016] [Accepted: 11/25/2016] [Indexed: 06/07/2023]
Abstract
Right ventricular diverticulum is a rare form of cardiac deformity, with a very few cases caused by pericarditis. A 60-year-old man sought medication because of chest congestion and shortness of breath. CT showed a soft tissue mass at the heart apex and pericardial calcification. Doppler echocardiography demonstrated a mixed cystic solid mass at the right ventricular apex. Surgical cure confirmed the diagnosis of right ventricular apex diverticulum with pericarditis. Echocardiography is contributive to the diagnosis of ventricular diverticula in measuring their size and showing the local thinning of the ventricular wall with localized bulging and abnormal motion. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:531-534, 2017.
Collapse
Affiliation(s)
- Lihong Wang
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| | - Xiaoli Cao
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| | - Jie Xue
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| | - Hongyan Li
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| | - Lei Shi
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| | - Yanming Men
- Department of Ultrasonography, Yantai Yuhuangding Hospital, 20 Yuhuangding East Road, Yantai, Shandong, 264000, China
| |
Collapse
|
29
|
Ghosh SK, Majumder B, Ghosh S, Chatterjee S, Agarwal M. Symmetrical peripheral gangrene complicating ventricular pseudoaneurysm: a report of an unusual case and a brief review of the literature. An Bras Dermatol 2017; 91:169-171. [PMID: 28300932 PMCID: PMC5325031 DOI: 10.1590/abd1806-4841.20165061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 10/10/2015] [Indexed: 11/29/2022] Open
Abstract
Symmetrical peripheral gangrene is an ischemic necrosis simultaneously involving
the distal portions of two or more extremities without any proximal arterial
obstruction or vasculitis. It may occur as a result of a large number of
infectious and non-infectious causes. A few cases of symmetrical peripheral
gangrene associated with cardiac disease have been described in the literature.
We describe a case of symmetrical peripheral gangrene complicating ventricular
pseudoaneurysm, probably a hitherto unreported occurrence. In this report, we
sought to emphasize the importance of cardiac evaluation while dealing with a
case of symmetrical peripheral gangrene.
Collapse
|
30
|
Ludmir J, Kapoor K, George P, Khural J, Barr B. Left Ventricular Pseudoaneurysm Following Inferior Myocardial Infarction: A Case for Conservative Management. Cardiol Res 2017; 7:32-35. [PMID: 28197266 PMCID: PMC5295532 DOI: 10.14740/cr449w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2016] [Indexed: 11/11/2022] Open
Abstract
Left ventricular pseudoaneurysm is a rare complication of myocardial infarction that carries a high mortality rate. Although conventional wisdom suggests prompt surgical repair in order to mitigate risk of expansion and rupture, there are some data to support non-operative management in asymptomatic individuals with likely chronic pseudoaneurysms, particularly when surgical candidacy is poor. We present a case of a medically managed left ventricular pseudoaneurysm subsequent to inferior ST-segment elevation myocardial infarction with 6-month follow-up data.
Collapse
Affiliation(s)
| | - Karan Kapoor
- University of Maryland Medical Center, Baltimore, MD, USA
| | - Praveen George
- University of Maryland Medical Center, Baltimore, MD, USA
| | - Jasjeet Khural
- University of Maryland Medical Center, Baltimore, MD, USA
| | - Brian Barr
- University of Maryland Medical Center, Baltimore, MD, USA
| |
Collapse
|
31
|
Baribeau Y, Amir R, Matyal R, Mahmood F. A Second Look at Dilation of the Ascending Aorta. J Cardiothorac Vasc Anesth 2017; 31:1535-1537. [PMID: 28389186 DOI: 10.1053/j.jvca.2017.02.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Indexed: 11/11/2022]
Affiliation(s)
- Yanick Baribeau
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Rabia Amir
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Robina Matyal
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Feroze Mahmood
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
| |
Collapse
|
32
|
Bisoyi S, Dash AK, Nayak D, Sahoo S, Mohapatra R. Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma. Ann Card Anaesth 2016; 19:169-72. [PMID: 26750696 PMCID: PMC4900369 DOI: 10.4103/0971-9784.173042] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Free wall rupture of the left ventricle (LV) is a rare but life-threatening complication of acute myocardial infaction. Very rarely such rupture may be contained by the adhering pericardium creating a pseudoaneurysm. This condition warrants for an emergency surgery. Left ventricular aneurysm is the discrete thinning of the ventricular wall (<5 mm) with akinetic or dyskinetic wall motion causing an out-pouching of the ventricle. Given the propensity for pseudoaneurysms to rupture leading to cardiac tamponade, shock, and death, compared with a more benign natural history for true aneurysms, accurate diagnosis of these conditions is important. True aneurysm, usually, calls for an elective surgery. Clinically differentiating the two conditions remains a challenge. We report the case of a patient with LV pseudoaneurysm, initially diagnosed as true aneurysm at our institution. We have attempted to review the existing literature and discussed the characteristic findings of each entity.
Collapse
Affiliation(s)
- Samarjit Bisoyi
- Department of Cardiac Anesthesiology, Apollo Hospitals, Bhubaneswar, Odisha, India
| | | | | | | | | |
Collapse
|
33
|
Multiple left ventricular aneurysms in a young female. Rev Port Cardiol 2016; 35:113.e1-6. [PMID: 26852308 DOI: 10.1016/j.repc.2015.09.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 07/18/2015] [Accepted: 09/02/2015] [Indexed: 11/22/2022] Open
Abstract
Multiple left ventricular aneurysms (LVAs) are rare, especially in a young female. A 29-year-old woman presented vague symptoms. Multiple LVAs were revealed and confirmed on different imaging modalities, including chest radiography, echocardiography, contrast ventriculography and cardiac magnetic resonance imaging. Detailed work-up for probable etiologies including ischemic, infectious, inflammatory and autoimmune causes was negative. In the absence of angina, decompensated congestive heart failure, arrhythmias and embolism, the patient was managed conservatively, with excellent mid-term outcome.
Collapse
|
34
|
Multiple left ventricular aneurysms in a young female. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2016. [DOI: 10.1016/j.repce.2016.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
35
|
Montoy M, Courand PY, Fareh S, Farhat F, Lantelme P, Harbaoui B. Uncommon complication of myocardial infarction revealed by sustained ventricular tachycardia. Presse Med 2016; 45:276-8. [PMID: 26796474 DOI: 10.1016/j.lpm.2015.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Revised: 10/18/2015] [Accepted: 11/26/2015] [Indexed: 11/25/2022] Open
Affiliation(s)
- Mathieu Montoy
- University Lyon 1, hospices civils de Lyon, hôpital de la Croix-Rousse et hôpital Lyon Sud, department of cardiology, 69004 Lyon, France
| | - Pierre-Yves Courand
- University Lyon 1, hospices civils de Lyon, hôpital de la Croix-Rousse et hôpital Lyon Sud, department of cardiology, 69004 Lyon, France; Université de Lyon, université Claude-Bernard Lyon 1, hospices civils de Lyon, CREATIS, CNRS UMR5220, Inserm U1044, INSA, 69100 Lyon, France.
| | - Samir Fareh
- University Lyon 1, hospices civils de Lyon, hôpital de la Croix-Rousse et hôpital Lyon Sud, department of cardiology, 69004 Lyon, France
| | - Fadi Farhat
- University Lyon 1, hospices civils de Lyon, hôpital Louis-Pradel, department of cardiac surgery, 69500 Lyon, France
| | - Pierre Lantelme
- University Lyon 1, hospices civils de Lyon, hôpital de la Croix-Rousse et hôpital Lyon Sud, department of cardiology, 69004 Lyon, France; Université de Lyon, université Claude-Bernard Lyon 1, hospices civils de Lyon, CREATIS, CNRS UMR5220, Inserm U1044, INSA, 69100 Lyon, France
| | - Brahim Harbaoui
- University Lyon 1, hospices civils de Lyon, hôpital de la Croix-Rousse et hôpital Lyon Sud, department of cardiology, 69004 Lyon, France; Université de Lyon, université Claude-Bernard Lyon 1, hospices civils de Lyon, CREATIS, CNRS UMR5220, Inserm U1044, INSA, 69100 Lyon, France
| |
Collapse
|
36
|
Elgharably H, Halbreiner MS, Shoenhagen P, Navia JL. Repair of left ventricular pseudoaneurysm with the triple patch technique (Empanada Patch). Interact Cardiovasc Thorac Surg 2015; 22:116-7. [PMID: 26467640 DOI: 10.1093/icvts/ivv288] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Accepted: 09/10/2015] [Indexed: 11/13/2022] Open
Abstract
Left ventricular pseudoaneurysm is a rare but serious complication of myocardial infarction that requires urgent intervention to avoid unpredictable fatal rupture. Surgical repair aims at excluding the aneurysmal area with a patch to preserve the left ventricular geometry. Here, we present a case of successful repair of inferobasal left ventricular pseudoaneurysm using a modified triple patch technique ('Empanada Patch').
Collapse
Affiliation(s)
- Haytham Elgharably
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Michael S Halbreiner
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Paul Shoenhagen
- Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, Cleveland, OH, USA Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Jose L Navia
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| |
Collapse
|
37
|
Surgical treatment of giant cardiac aneurysm with pseudoaneurysm in a colon carcinoma patient. POLISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2015; 12:155-8. [PMID: 26336500 PMCID: PMC4550018 DOI: 10.5114/kitp.2015.52859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 09/14/2014] [Accepted: 10/21/2014] [Indexed: 12/04/2022]
Abstract
Left ventricular pseudoaneurysm is a rare and lethal condition associated with a high risk of rapid enlargement and rupture. It develops after transmural myocardial infarction (MI), cardiac surgery, trauma, or infection. When a left ventricular pseudoaneurysm is detected, surgical repair is recommended due to the high possibility of rupture. In this report, we present surgical treatment of a giant cardiac pseudoaneurysm that occurred after MI in a colon carcinoma patient.
Collapse
|
38
|
A large pseudoaneurysm of the left cardiac ventricle in a 57-year-old patient after urgent coronary artery bypass grafting and surgical mitral valve replacement due to acute myocardial infarction. KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA = POLISH JOURNAL OF CARDIO-THORACIC SURGERY 2015; 11:432-6. [PMID: 26336464 PMCID: PMC4349044 DOI: 10.5114/kitp.2014.47347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Revised: 03/29/2013] [Accepted: 08/14/2013] [Indexed: 11/17/2022]
Abstract
We present a rare case of a left ventricular pseudoaneurysm in a patient after inferior wall myocardial infarction. The infarction was complicated with acute mitral insufficiency, pulmonary edema, and cardiogenic shock. Urgent surgical mitral valve replacement and coronary artery bypass grafting were performed. After several months, the patient was hospitalized again because of deterioration of exercise tolerance and symptoms of acute congestive heart failure. A large pseudoaneurysm of the left ventricle was recognized and successfully treated surgically.
Collapse
|
39
|
Krishna MR, Kottayil BP, Sunil GS, Kumar RK. A life-threatening infective pseudoaneurysm of the left ventricle in a toddler. Ann Pediatr Cardiol 2015; 8:137-9. [PMID: 26085766 PMCID: PMC4453183 DOI: 10.4103/0974-2069.157029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Pseudoaneurysms of the ventricle are an uncommon occurrence in children. They may be secondary to previous cardiac surgery or infection of the pericardial space. Infective pseudoaneurysms require urgent surgery because rupture of the pseudoaneurysm may have catastrophic consequences. The outcome with surgery is excellent. We report a toddler with ruptured pseudoaneurysm secondary to purulent pericarditis who recovered with an emergency surgical closure of the opening of the pseudo-aneurysm.
Collapse
Affiliation(s)
- Mani Ram Krishna
- Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Ponekkara, Kochi, Kerala, India
| | - Brijesh P Kottayil
- Department of Pediatric Cardio-Thoracic and Vascular Surgery, Amrita Institute of Medical Sciences and Research Centre, Ponekkara, Kochi, Kerala, India
| | - Gopalraj Sumangala Sunil
- Department of Pediatric Cardio-Thoracic and Vascular Surgery, Amrita Institute of Medical Sciences and Research Centre, Ponekkara, Kochi, Kerala, India
| | - Raman Krishna Kumar
- Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Ponekkara, Kochi, Kerala, India
| |
Collapse
|
40
|
Laura S, Michael S, Michael W. SPECT myocardial perfusion images of an undiagnosed idiopathic true left ventricular aneurysm. J Nucl Cardiol 2015; 22:216-8. [PMID: 25063215 DOI: 10.1007/s12350-014-9951-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 06/25/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Sullivan Laura
- Department of Cardiology, St Vincent Hospital & Health Services, Indianapolis, IN, USA.
| | | | | |
Collapse
|
41
|
Petrou E, Vartela V, Kostopoulou A, Georgiadou P, Mastorakou I, Kogerakis N, Sfyrakis P, Athanassopoulos G, Karatasakis G. Left ventricular pseudoaneurysm formation: Two cases and review of the literature. World J Clin Cases 2014; 2:581-586. [PMID: 25325071 PMCID: PMC4198413 DOI: 10.12998/wjcc.v2.i10.581] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 06/21/2014] [Accepted: 07/29/2014] [Indexed: 02/05/2023] Open
Abstract
Left ventricular wall rupture (LVWR) comprises a complication of acute myocardial infarction (AMI). Acute LVWR is a fatal condition, unless the formation of a pseudoaneurysm occurs. Several risk factors have been described, predisposing to LVWR. High index of suspicion and imaging techniques, namely echocardiography and computed tomography, are the cornerstones of timely diagnosis of the condition. As LVWR usually leads to death, emergency surgery is the treatment of choice, resulting in significant reduction in mortality and providing favorable short-term outcomes and adequate prognosis during late follow-up. Herein, we present two patients who were diagnosed with LVWR following AMI, and subsequent pseudoaneurysm formation. In parallel, we review the aforementioned condition.
Collapse
|
42
|
di Summa M, Iezzi F, Oburu G, Mehta N. Huge left ventricular pseudoaneurysm rupture in an African young adult patient. Interact Cardiovasc Thorac Surg 2014; 19:160-1. [PMID: 24729311 DOI: 10.1093/icvts/ivu086] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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.
Collapse
Affiliation(s)
- Michele di Summa
- Department of Cardiothoracic and Vascular Surgery, Kenyatta National Hospital and University of Nairobi, Nairobi, Kenya
| | - Federica Iezzi
- Department of Cardiothoracic and Vascular Surgery, Kenyatta National Hospital and University of Nairobi, Nairobi, Kenya
| | - Gilbert Oburu
- Department of Cardiothoracic and Vascular Surgery, Kenyatta National Hospital and University of Nairobi, Nairobi, Kenya
| | - Nikita Mehta
- Department of Cardiothoracic and Vascular Surgery, Kenyatta National Hospital and University of Nairobi, Nairobi, Kenya
| |
Collapse
|
43
|
Si D, Shi K, Gao D, Yang P. Ruptured left ventricular pseudoaneurysm in the mediastinum following acute myocardial infarction: a case report. Eur J Med Res 2013; 18:2. [PMID: 23336965 PMCID: PMC3567981 DOI: 10.1186/2047-783x-18-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2012] [Accepted: 12/14/2012] [Indexed: 12/19/2022] Open
Abstract
Left ventricular pseudoaneurysm is an uncommon complication after transmural acute myocardial infarction (AMI). Here we describe the case of a 43-year-old man who presented with AMI and chest distress despite the normal appearance of his coronary artery during coronary angiography. Timely thrombolytic therapy was administered. Echocardiography, and cardiac computed tomography showed a ventricular pseudoaneurysm, and direct visualization at the time of surgery showed that it had ruptured in the mediastinum instead of the pericardium. The survival rate of patients with ventricular pseudoaneurysm rupture is low. The rupture of ventricular pseudoaneurysm in the mediastinum is rare; therefore, this case is noteworthy.
Collapse
Affiliation(s)
- Daoyuan Si
- Department of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, 130021, China
| | | | | | | |
Collapse
|
44
|
Singh S. Large basal inferior wall aneurysm with thrombus: a rare phenomenon revisited. BMJ Case Rep 2012; 2012:bcr-2012-007815. [PMID: 23239778 DOI: 10.1136/bcr-2012-007815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Sukhvinder Singh
- Department of Cardiology, Ganesh PET CT & Diagnostic Centre, New Delhi, India.
| |
Collapse
|
45
|
Spectrum of physiological and pathological cardiac and pericardial uptake of FDG in oncology PET-CT. Clin Radiol 2012. [PMID: 23177651 DOI: 10.1016/j.crad.2012.09.007] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Cardiac uptake of 2-[(18)F]-fluoro-2-deoxy-d-glucose (FDG) is frequently observed on FDG positron-emission tomography combined with computed tomography (PET-CT) performed for diagnosis, staging, and assessment of therapeutic response of lymphoma and solid cancers, despite careful patient preparation to limit myocardial glucose substrate utilisation. We illustrate the varied physiological patterns of cardiac FDG uptake, and show a spectrum of pathological conditions causing FDG uptake within myocardial and pericardial structures, due to clinically important benign and malignant diseases. Recognition and awareness of these various causes of FDG uptake in the heart, along with the appropriate use of correlative contrast-enhanced CT and magnetic resonance imaging (MRI) will facilitate correct interpretation.
Collapse
|
46
|
With computed tomography confirmed anterolateral left ventricular pseudoaneurysm in patient with dilatative alcoholic cardiomyopathy. Radiol Oncol 2012; 45:180-3. [PMID: 22933953 PMCID: PMC3423740 DOI: 10.2478/v10019-011-0021-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2011] [Accepted: 03/25/2011] [Indexed: 11/20/2022] Open
Abstract
Background Pseudoaneurysms are rare complications of myocardial infarction with propensity for rupture. There is still a challenge with which diagnostic imaging we performed a final diagnosis of pseudoaneurysm and differentiate it from true aneurysm what is clinically important due to the different treatment. Case report. We presented the unusual case of a 56-year-old man with signs of decompensated heart failure which had worsened a few months before hospitalization. We believed that during worsening of symptoms the patient suffered a silent myocardial infarction complicated by subacute free wall rupture which resulted into left ventricular pseudoaneurysm formation without tamponade. Echocardiography showed dilatative cardiomyopathy which was already present years before and a very rare location of the left ventricular pseudoaneurysm on the anterolateral part of the left ventricle. Pseudoaneurysm was confirmed with CT scan. Due to the severity of contractile dysfunction and no response in treatment for congestive heart failure the directive for the resection was tempered and the patient died due to the progressive heart failure and embolic phenomena. Conclusions This report shows the importance of non-invasive imaging diagnostic evaluation of acute decompensated heart failure where echocardiography and chest X-ray are the first diagnostic steps. Based on those findings further imaging diagnostic steps must be performed such as CT scan in our case which finally confirms left ventricular pseudoaneurysm with dilatative cardiomyopathy.
Collapse
|
47
|
Oliveira SM, Dias P, Pinho T, Gavina C, Almeida PB, Madureira AJ, Pinho P, Ramos I, Maciel MJ. Pseudoaneurisma gigante do ventrículo esquerdo: contributo diagnóstico de diferentes modalidades de imagem não invasivas. Rev Port Cardiol 2012; 31:439-44. [DOI: 10.1016/j.repc.2012.04.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2011] [Accepted: 11/04/2011] [Indexed: 11/25/2022] Open
|
48
|
Oliveira SM, Dias P, Pinho T, Gavina C, Almeida PB, Madureira AJ, Pinho P, Ramos I, Maciel MJ. Giant left ventricular pseudoaneurysm: The diagnostic contribution of different non-invasive imaging modalities. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2012. [DOI: 10.1016/j.repce.2011.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
49
|
Aguiar J, Barba MDM, Gil JA, Caetano J, Ferreira A, Nobre A, Cravino J. [Left ventricular aneurysm and differential diagnosis with pseudoaneurysm]. Rev Port Cardiol 2012; 31:459-62. [PMID: 22626969 DOI: 10.1016/j.repc.2012.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Accepted: 01/25/2012] [Indexed: 11/30/2022] Open
Abstract
Left ventricular aneurysm and pseudoaneurysm are two complications of myocardial infarction in which the role of imaging is paramount. The authors describe a case of a true aneurysm of the posterior wall, for which cardiac magnetic resonance was useful, although only intra-operative assessment confirmed the diagnosis.
Collapse
Affiliation(s)
- José Aguiar
- Unidade de Cardiologia, Hospital Santa Luzia, ULSNA EPE, Elvas, Portugal.
| | | | | | | | | | | | | |
Collapse
|
50
|
Grant EN, Huang N, Joshi GP, Aguirre MA. Dual presentation of a giant left ventricular pseudoaneurysm and true aneurysm. Proc AMIA Symp 2012; 25:28-30. [PMID: 22275780 DOI: 10.1080/08998280.2012.11928777] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Erica N Grant
- Department of Anesthesiology and Pain Management, The University of Texas Southwestern Medical Center, Dallas, Texas
| | | | | | | |
Collapse
|