Left Ventricular Pseudoaneurysm Research Articles

Left ventricular outflow tract pseudoaneurysm causing coronary systolic compression.

Left ventricular outflow tract pseudoaneurysm causing coronary systolic compression.

Multimodality imaging approach in diagnosis and management of post-infarctual evolving left ventricular pseudoaneurysm.

Multimodality imaging approach in diagnosis and management of post-infarctual evolving left ventricular pseudoaneurysm.

From pneumonia to two cardiac surgeries: Aortic valve endocarditis complicated by an aortic root abscess, atrioventricular block, and postoperative left ventricular pseudoaneurysm.

From pneumonia to two cardiac surgeries: Aortic valve endocarditis complicated by an aortic root abscess, atrioventricular block, and postoperative left ventricular pseudoaneurysm.

Transapical Closure of an Iatrogenic Left Ventricular Apical Pseudoaneurysm

Transapical Closure of an Iatrogenic Left Ventricular Apical Pseudoaneurysm

Unusual cardiac aneurysms: a surgical pathology experience

Among the cardiac outpouchings, left ventricular aneurysms or pseudo-aneurysms that develop secondary to myocardial infarctions are the most common. On the other hand, atrial appendageal and valvular aneurysms are uncommon occurrences. The appendageal aneurysms develop possibly due to congenital dysplasia of atrial pectinate muscles, while valvular aneurysms result from infective endocarditis, mechanical injury or degenerative changes. Despite their unusual locations, they are prone to life-threatening complications. We present our experience of unusual cardiac aneurysms in surgical cardiovascular material.

ANOTHER BRICK IN THE WALL: A STRANGE CASE OF A BIG HUG

Abstract Background Left ventricular pseudoaneurysm (LVP) is a rare complication of myocardial infarction MI (less than 0,1% of all patients with MI) and develops when cardiac rupture is contained by adherent pericardium or scar tissue, thus contains no endocardium or myocardium, unlike a true left ventricular aneurysm (LVA). Clinical Case A 41–year–old man without remote cardiac history was admitted to the Emergency Department with chest pain that had started 7 days before after a referred ‘big hug’ from a friend. Results of the physical examination were unremarkable. Electrocardiogram: T waves negative in the inferior and lateral leads. Blood exams: normal troponins, C–reactive protein and D–dimer values. Chest computed tomography: no sign of pulmonary embolism. Transthoracic echocardiography (TE): ejection fraction 45%, voluminous aneurismal chamber communicating with the infero–posterior wall of the LV, stratified thrombus and mild mitral valve regurgitation. Coronary angiography: three vessel coronary artery disease. The last diagnosis was established by cardiac magnetic resonance imaging (MRI) which revealed a voluminous pseudoaneurysm of the inferior wall (56 mm x 50 mm with a 51 mm neck) and transmural late gadolinium enhancement (LGE) of the wall adjacent to the pseudoaneurysm with fibroadipose replacement and calcific metaplasia. The patient was transferred to the Cardiac Surgery Department. Intraoperatively the LVP was resected and the defect of the LV was repaired with a patch in bovine pericardium. In addition, coronary artery bypass grafting and mitral valve repair were performed. Discussion LVP develops when pericardium, in combination with thrombus and inflammation, surrounds a cardiac rupture. Inferior and posterolateral myocardial infarction (MI), due to occlusion of the Circumflex artery, are responsible for 82% of the LVP. LVP can be also found in the apical region due to anterior MI. In conclusion symptoms, signs, electrocardiographic abnormalities and radiographic findings seen in patients with LVP can be indistinguishable from those in patients with coronary disease alone. TE is the first non–invasive method for early diagnosis of LVA, but MRI is the gold standard for differential diagnosis between true aneurysm vs pseudoaneurysm. LGE of the pericardium is a new specific marker of pseudoaneurysm as opposed to true aneurysm.

A Case of Left Ventricular Pseudoaneurysm as a Complication of Late-Presenting ST-Segment Elevation Myocardial Infarction

A Case of Left Ventricular Pseudoaneurysm as a Complication of Late-Presenting ST-Segment Elevation Myocardial Infarction

Post-infarction Left Ventricular Pseudoaneurysm Treated with Percutaneous Transcatheter Occlusion: A Case Report

Post-infarction Left Ventricular Pseudoaneurysm Treated with Percutaneous Transcatheter Occlusion: A Case Report

Surgical techniques using an attached patch for large left ventricular pseudoaneurysm after inferior acute myocardial infarction.

We report a case of large left ventricular pseudoaneurysm after inferior acute myocardial infarction. Patch repair is commonly performed; however, only a few studies have described specific surgical techniques for left ventricular pseudoaneurysm repair of the inferior left ventricular wall. As an optimal repair technique for left ventricular pseudoaneurysm of the inferior left ventricular wall is lacking, we believe our technique is safe and effective in repairing this pathology.

Delayed traumatic left ventricular pseudoaneurysm: diagnostic challenges and surgical management.

Left ventricular (LV) pseudoaneurysms are uncommon, with traumatic cases being particularly rare. We present a case of a 26-year-old male with a delayed presentation of a traumatic LV pseudoaneurysm, 2years post-blunt chest trauma. The patient experienced New York Heart Association (NYHA) grade 2 dyspnea, which prompted the investigation. Imaging studies, including X-ray, echocardiogram, and cardiac computed tomography (CT), revealed a large pseudoaneurysm arising from the LV apex, containing intramural thrombus. The surgical intervention involved the closure of the communicating orifice and on-lay pericardial patch placement. This case emphasizes the diagnostic challenges and successful management of traumatic LV pseudoaneurysms. Early detection through imaging and prompt surgical intervention led to a favorable outcome. This report contributes to understanding post-traumatic pseudoaneurysms and underscores the importance of a multidisciplinary approach in their management. Further studies are needed to refine diagnostic and treatment strategies for this rare condition.

(1132) - Massive Left Ventricular Pseudoaneurysm Presenting as Cardiogenic Shock Following Myocardial Infarction

(1132) - Massive Left Ventricular Pseudoaneurysm Presenting as Cardiogenic Shock Following Myocardial Infarction

An unusual long-term follow-up of a patient with a left ventricular pseudoaneurysm after myocardial infarction.

An unusual long-term follow-up of a patient with a left ventricular pseudoaneurysm after myocardial infarction.

Coronary Computed Tomography Angiography to Diagnose a Large Left Ventricular Pseudoaneurysm That Formed Rapidly After Myocardial Infarction.

Coronary Computed Tomography Angiography to Diagnose a Large Left Ventricular Pseudoaneurysm That Formed Rapidly After Myocardial Infarction.

Transcatheter Closure of Left Ventricular Outflow Tract Pseudoaneurysm Compressing the Left Anterior Descending Artery

Transcatheter Closure of Left Ventricular Outflow Tract Pseudoaneurysm Compressing the Left Anterior Descending Artery

Left Ventricular Apical Pseudoaneurysm: A Case Report Incidental Diagnosis and Management

Left ventricular pseudoaneurysm (LVPA) is a rare and life-threatening condition characterized by “an outpouching resulting from a rupture in the ventricular free wall.” We present a case with a history of myocardial infarction and left ventricular (LV) apical thrombus who presented with worsening dyspnea. Echocardiography revealed LVPA with bidirectional flow, confirmed by cardiac CT. He underwent successful surgical repair of LVPA and coronary artery bypass grafting. LVPA is associated with significant morbidity and mortality, so early diagnosis is crucial. This case report highlights the successful management of LVPA, underscoring the importance of prompt diagnosis and multidisciplinary care.

A case report of percutaneous closure of left ventricular pseudoaneurysm

A case report of percutaneous closure of left ventricular pseudoaneurysm

Abstract 18676: Aneurysmectomy or No Aneurysmectomy - An Unknown Heart Failure Terrain

Case Report: A 40-year male with a history of traumatic inferoapical ventricular septal rupture after a motor vehicle accident status post patch repair and left ventricular thrombus on Rivaroxaban presented to the ED with hemoptysis. The patient on arrival was hemodynamically stable. CTA revealed a new 6.9 cm left ventricular pseudoaneurysm and an echocardiogram revealed an EF of 30% with a pseudoaneurysm involving the entire distal septum, lateral wall, and apex and a ventricular septal rupture into the intraventricular septum. Cardiac MRI revealed a pseudoaneurysm from the inferoseptal wall measuring 9.6 x 6.9 x 10.0 cm and a stroke volume of 123 mL. A right heart catheterization revealed no evidence of left-to-right shunting. Given heart failure with reduced ejection fraction in the setting of a pseudoaneurysm and the complexity of aneurysm repair, advanced heart failure and cardiothoracic surgery teams were consulted for conventional surgical and transplant evaluation. Due to social barriers, the patient was declined from transplant and ultimately proceeded with patch repair. Intraoperative echocardiography revealed a post-operative EF of 25%. Discussion: This case highlights the need for further data on pseudoaneurysms that are confounded with concurrent heart failure. For this patient, the concerns were for adequate stroke volume given the extent of the pseudoaneurysm and whether improvement in systolic function could be seen with repair or result in further decline. It was postulated that surgical repair would raise his effective stroke volume, and thus improve cardiac function. Postoperative EF changes could have been further explained by myocardial stunning during anesthesia or rapid changes in end-diastolic volume with aneurysmectomy altering Frank-Starling hemodynamics. With isolated case report data, further aneurysmectomy outcome characterization is thus imperative to guide advanced heart failure treatment and improve patient mortality.

Left ventricular pseudoaneurysm as a mechanical complication of acute myocardial infarction: a case report

Left ventricular pseudoaneurysm as a mechanical complication of acute myocardial infarction: a case report

Case of the Season: Gerbode Defect and Left Ventricular Pseudoaneurysm as Complications of Mitral Valve Replacement

Case of the Season: Gerbode Defect and Left Ventricular Pseudoaneurysm as Complications of Mitral Valve Replacement

Percutaneous closure of infantile postoperative left ventricular pseudoaneurysm exclusively under transthoracic echocardiography guidance.

Percutaneous closure of infantile postoperative left ventricular pseudoaneurysm exclusively under transthoracic echocardiography guidance.