Left ventricular pseudoaneurysm

Case contributed by Dr Maxim Stalkov


Chest pain post radiofrequency catheter ablation.

Patient Data

Age: 85 years
Gender: Female

Cardiac CT demonstrates left ventricular pseudoaneurysm. Myocardial defect is located in the lateral wall in close proximity to the mitral valve. Loculated hemopericardium and sliding hiatus hernia are also noted.

The four chamber view clearly demonstrates the breach in the left ventricular wall.

On the 3D reconstruction, note the circumflex artery passing through the pseudoaneurysm.

Case Discussion

Pseudoaneurysms represent free wall rupture of the left ventricle contained by adherent pericardium. Postsurgical pseudoaneurysms are as common as postinfarction.

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Case information

rID: 42902
Published: 14th Feb 2016
Last edited: 12th Oct 2019
System: Cardiac
Inclusion in quiz mode: Included

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