Left Ventricular Pseudoaneurysm in a Patient With an Apical Aneurysm

Pratik Patel; Michael Siegenthaler; W Patricia Bandettini; Andrew E Arai; Kana Fujikura

doi:10.1016/j.jaccas.2020.05.088

Left Ventricular Pseudoaneurysm in a Patient With an Apical Aneurysm

JACC Case Rep. 2020 Aug 12;3(1):91-93. doi: 10.1016/j.jaccas.2020.05.088. eCollection 2021 Jan.

Authors

Pratik Patel¹, Michael Siegenthaler², W Patricia Bandettini³, Andrew E Arai¹, Kana Fujikura¹

Affiliations

¹ Advanced Cardiovascular Imaging Laboratory, National Heart, Lung and Blood Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland, USA.
² Division of Cardiothoracic Surgery, Suburban Hospital, Bethesda, Maryland, USA.
³ National Heart, Lung and Blood Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland, USA.

Abstract

Left ventricular pseudoaneurysm is a potentially life-threatening complication of acute myocardial infarction. Timely diagnosis is crucial to improve the patient's prognosis. We describe a multimodality diagnostic approach with emphasis on cardiac magnetic resonance imaging for a left ventricular pseudoaneurysm found surreptitiously in 72-year-old man 2 weeks following an acute myocardial infarction. (Level of Difficulty: Beginner.).

Keywords: CMR, cardiac magnetic resonance; LGE, late gadolinium enhancement; LV, left ventricle; cardiac magnetic resonance imaging; computed tomography; echocardiogram; left ventricular pseudoaneurysm.