Unsuspected left ventricular pseudoaneurysm

Breisblatt, WM; Berger, RB; Cabin, HS; Cleman, MW; Cerqueira,; Rd, Neumann; Ezekowitz,; Hashim, SW; Berger, H J

doi:10.2214/ajr.142.4.680

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The most common cause of a left ventricle pseudo-aneurysm is a transmural myocardial infarction [3,5]. This is followed by patients who have undergone cardiac surgeries or suffered trauma [4]. Rarely it is seen with myocardial abscesses and endocarditis [6].…”

Section: Discussionmentioning

confidence: 99%

“…This is because ruptures of the anterior wall are not well tolerated and generally lead to hemopericardium or tamponade [8]. Moreover, they are seldom compressed by adherent pericardium and hence are fatal before diagnosis can be established [4]. Patients with LVPA can present anywhere from a few days to many months post myocardial infarction [4,7].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, they are seldom compressed by adherent pericardium and hence are fatal before diagnosis can be established [4]. Patients with LVPA can present anywhere from a few days to many months post myocardial infarction [4,7]. A retrospective analysis at Cleveland Clinic found the median time to be 50 days [5].…”

Section: Discussionmentioning

confidence: 99%

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Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Naseerullah

Baig

Wool

et al. 2018

Journal of Cardiology Cases

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Left ventricular free wall rupture is invariably a calamitous event with the most frequent presentation being sudden hemodynamic collapse and death [1]. In such a scenario, however, a pseudoaneurysm may be considered a blessing in disguise. Left ventricular pseudoaneurysm (LVPA) develops when the rupture is contained by adherent pericardium, overlying fibrin and clot, or scar tissue. This prevents the rapid accumulation of blood in the pericardial space which would have otherwise led to death via the formation of a fatal pericardial tamponade. In contrast to rupture per se, one with a false aneurysm can lead to longer survival, thus providing physicians with crucial hours, days, or rarely even weeks to make the diagnosis [2]. LVPA is clinically uncommon and remains a challenge to diagnose. It can have numerous presentations, ranging from asymptomatic to chest pain and dyspnea [3]. Hence, it merits a high index of suspicion. The importance of making the diagnosis cannot be overstated, since the incidence of a fatal left ventricular rupture from a pseudoaneurysm varies from 19 to 32% [4]. We present a case in which an asymptomatic LVPA was diagnosed by picking up a new murmur on physical examination. Case report A 70-year-old male of Vietnamese origin was referred to the emergency room from an urgent care set up because of chest pain,

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Naseerullah

Baig

Wool

et al. 2018

Journal of Cardiology Cases

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Pseudosepsis after myocardial infarction

McCriskin¹,

Baisden²,

Spaccevento³

et al. 1987

The American Journal of Medicine

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MUGA image artefacts caused by metallic injection ports in breast reconstruction tissue expanders: a report of two breast cancer patients

Makis¹

2016

BJR|case reports

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Expander-based breast reconstruction is a popular form of post-mastectomy reconstruction and involves the temporary subcutaneous implantation of breast tissue expanders that require periodic, incremental inflation with sterile saline by injection until the desired amount of tissue is developed. One type of tissue expander injection port system currently on the market is made of titanium and rare-earth magnets that enhance injection accuracy. These highly dense metallic materials, however, can cause attenuation artefacts on multiple gated acquisition cardiac studies. In this report, we present the cases of two breast cancer patients with artefacts on multiple gated acquisition scans, characteristic of these tissue breast expanders.

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Unsuspected left ventricular pseudoaneurysm

Cited by 4 publications

References 7 publications

Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Pseudosepsis after myocardial infarction

MUGA image artefacts caused by metallic injection ports in breast reconstruction tissue expanders: a report of two breast cancer patients

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