Abstract
Left ventricular pseudoaneurysm is a rare but life-threatening disorder that is frequently reported secondary to myocardial infarction or cardiac surgery. In this article, we chronicle the case of a patient with no prior risk factors who presented with a 2-week history of nonexertional atypical left chest pain. Apical 2-chamber transthoracic echocardiography revealed an unexpected outpouching of basal inferoseptal wall of the left ventricle, which had a narrow neck and relatively wide apex. The patient was diagnosed with left ventricular pseudoaneurysm and medical therapy was initiated. He refused to undergo the surgical intervention and subsequently, he was discharged from the hospital in stable condition. This article illustrates that physicians should be vigilant for atypical presentations of left ventricular pseudoaneurysm, and a high index of suspicion should be maintained for this stealth killer while performing appropriate diagnostic imaging. Additionally, we review the currently available approaches to diagnosis and management in these patients.
Highlights
Left ventricular pseudoaneurysm (LVP) is a rare but serious clinicopathologic entity
We present a case of basal inferoseptal LVP
Most of the LVPs develop after myocardial infarction (MI) or cardiothoracic surgery
Summary
Left ventricular pseudoaneurysm (LVP) is a rare but serious clinicopathologic entity. The clinical presentation can be nonspecific, including congestive heart failure, chest pain, dyspnea or arrhythmia leading to a delay in the diagnosis.[1] Several case reports show its occurrence secondary to myocardial infarction (MI), cardiac surgery and interventions, infection, or trauma.[1,2] This disease carries a significant risk of rupture due to a strong tendency to grow rapidly.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
More From: Journal of Investigative Medicine High Impact Case Reports
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.