Chronic giant post-traumatic pseudoaneurysm of the right ventricular outflow tract associated with penetrating ventricular septal fistula

Zhang, Lizhi; Li, Zhenlin; Guo, Yingkun

doi:10.1016/j.ijcard.2015.03.385

“…Indeed, while left ventricular pseudoaneurysms are a rare complication in and of themselves, right ventricular pseudoaneurysms are still more uncommon [ 4 ]. Following a literature review, published case reports of these right ventricular anomalies have been demonstrated to develop from lipoma [ 5 ], postcardiac surgery [ 6 – 9 ], following device lead extraction [ 10 ], in the infectious setting [ 11 , 12 ], after remote myocardial infarction [ 2 ], as a complication of endomyocardial biopsy [ 3 ], and subsequent to penetrating chest wall trauma [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

An Incidentally Detected Right Ventricular Pseudoaneurysm

Gaddipati

¹

,

Martin

²

,

Valenzuela

³

et al. 2017

Case Reports in Cardiology

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Ventricular pseudoaneurysm is an uncommon, potentially fatal complication that has been associated with myocardial infarction, cardiac surgery, chest trauma, and infectious processes. Diagnosis can be challenging, as cases are rare and slowly progressing and typically lack identifiable features on clinical presentation. As a result, advanced imaging techniques have become the hallmark of identification. Ahead, we describe a patient who presents with acute decompensated heart failure and was incidentally discovered to have a large right ventricular pseudoaneurysm that developed following previous traumatic anterior rib fracture.

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“…Following a literature review, published case reports of these right ventricular anomalies have been demonstrated to develop from lipoma [5], postcardiac surgery [6][7][8][9], following device lead extraction [10], in the infectious setting [11,12], after remote myocardial infarction [2], as a complication of endomyocardial biopsy [3], and subsequent to penetrating chest wall trauma [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

An Incidentally Detected Right Ventricular Pseudoaneurysm

Gaddipati

¹

,

Martin

²

,

Valenzuela

³

et al. 2017

Journal of the American College of Cardiology

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Ventricular pseudoaneurysm is an uncommon, potentially fatal complication that has been associated with myocardial infarction, cardiac surgery, chest trauma, and infectious processes. Diagnosis can be challenging, as cases are rare and slowly progressing and typically lack identifiable features on clinical presentation. As a result, advanced imaging techniques have become the hallmark of identification. Ahead, we describe a patient who presents with acute decompensated heart failure and was incidentally discovered to have a large right ventricular pseudoaneurysm that developed following previous traumatic anterior rib fracture.

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A case report: delayed right ventricular pericardial fistula and aneurysm following penetrating traumatic injury—a controversial aetiology

Steinmaurer

¹

,

Cupido

²

,

Hannington

³

et al. 2020

European Heart Journal - Case Reports

0

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Background Right ventricular aneurysms (RVAs) are rare. We present a case with a combined RVA and right ventricular pericardial fistula resulting in a pericardial effusion and cardiac tamponade. The RVA was detected 47 days after the patient suffered a gunshot wound. This report adds to the body of scarce literature on RVA aetiology, diagnoses, and treatment. Case summary A 30-year-old male patient presented with worsening respiratory distress over a 7-day period with clinical signs of cardiac tamponade following a history of a gunshot (with associated liver laceration, pulmonary embolism, right nephrectomy, and sepsis) 47 days prior. Transthoracic echocardiography showed a large circumferential pericardial effusion and an RVA. The patient was emergently taken for surgical repair of the RVA. Discussion Our case presents a delayed presentation of a gunshot heart and an aetiology with indications of and against a true aneurysm. It brings attention to possible complications of penetrating precordial injuries, with the need for consideration and possible evaluation at follow-up. The literature on the operative excision of RVA is reviewed and various aetiological factors and consequences are discussed.

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Chronic giant post-traumatic pseudoaneurysm of the right ventricular outflow tract associated with penetrating ventricular septal fistula

Cited by 3 publications

References 3 publications

An Incidentally Detected Right Ventricular Pseudoaneurysm

An Incidentally Detected Right Ventricular Pseudoaneurysm

An Incidentally Detected Right Ventricular Pseudoaneurysm

A case report: delayed right ventricular pericardial fistula and aneurysm following penetrating traumatic injury—a controversial aetiology

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