Large left ventricular pseudoaneurysm

Matteo Cameli; Matteo Lisi; Daniele Menci; Elisa Bigio; Marta Focardi; Flavio D’Ascenzi; Roberto Ceresa; Gianfranco Lisi; Massimo Maccherini; Sergio Mondillo

doi:10.17987/icfj.v1i5.64

International Cardiovascular Forum Journal (Jan 2014)

Large left ventricular pseudoaneurysm

Matteo Cameli,
Matteo Lisi,
Daniele Menci,
Elisa Bigio,
Marta Focardi,
Flavio D’Ascenzi,
Roberto Ceresa,
Gianfranco Lisi,
Massimo Maccherini,
Sergio Mondillo

Affiliations

Matteo Cameli
Matteo Lisi: Department of Cardiothoracic Surgery, University of Siena, Italy Corresponding author Dr. Matteo Cameli, MD U.O. Cardiologia Universitaria, Policlinico “Le Scotte”, viale Bracci 1, Siena, Italy. Tel./Fax: +390577585377.
Daniele Menci: Department of Cardiothoracic Surgery, University of Siena, Italy Corresponding author Dr. Matteo Cameli, MD U.O. Cardiologia Universitaria, Policlinico “Le Scotte”, viale Bracci 1, Siena, Italy. Tel./Fax: +390577585377.
Elisa Bigio: Unit of Anesthesia, University of Siena
Marta Focardi: Department of Cardiothoracic Surgery, University of Siena, Italy Corresponding author Dr. Matteo Cameli, MD U.O. Cardiologia Universitaria, Policlinico “Le Scotte”, viale Bracci 1, Siena, Italy. Tel./Fax: +390577585377.
Flavio D’Ascenzi: Department of Cardiothoracic Surgery, University of Siena, Italy Corresponding author Dr. Matteo Cameli, MD U.O. Cardiologia Universitaria, Policlinico “Le Scotte”, viale Bracci 1, Siena, Italy. Tel./Fax: +390577585377.
Roberto Ceresa: Department of Cardiothoracic Surgery, University of Siena, Italy
Gianfranco Lisi: Department of Cardiothoracic Surgery, University of Siena, Italy
Massimo Maccherini: Department of Cardiothoracic Surgery, University of Siena, Italy
Sergio Mondillo: Department of Cardiothoracic Surgery, University of Siena, Italy Corresponding author Dr. Matteo Cameli, MD U.O. Cardiologia Universitaria, Policlinico “Le Scotte”, viale Bracci 1, Siena, Italy. Tel./Fax: +390577585377.

DOI: https://doi.org/10.17987/icfj.v1i5.64
Journal volume & issue: Vol. 1, no. 5
pp. 232 – 234

Abstract

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Left ventricular pseudoaneurysm (LVPA) can complicate 4% of myocardial infarction ; it forms when rupture of the myocardium is contained by adherent pericardium or scar tissue. The diagnosis of a LVPA can be very difficult because of nonspecific signs and symptoms. Transthoracic twodimensional echocardiography (TTE) is the first applied investigation, although often can be non-diagnostic. TTE, contrast ventriculography, cardiac magnetic resonance (CMR) and three-dimensional echocardiography (3DE) are useful tools in pre-surgical assessment, allowing the differentiation between LV aneurysm and pseudoaneurysm, and the evaluation of LVPA size and spatial distribution. We report a case of a patient with a post-infarction LVPA that was detected initially by TTE and then cofirmed by ventriculography, 3DE and CMR. The patient was successfully treated surgically and then monitored by TTE.

Published in International Cardiovascular Forum Journal

ISSN: 2410-2636 (Print); 2409-3424 (Online)
Publisher: Barcaray International
Country of publisher: United Arab Emirates
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: http://icfjournal.org/index.php/icfj

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