Unusual CMR Findings of Apical Left Ventricle Pseudoaneurysm

Authors

1 Cardiovascular Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran

2 Atherosclerosis Research Center, Baqiatallah University of Medical Sciences, Tehran, IR Iran

3 Department of Medical Sciences, Mashhad Branch, Islamic Azad University, Mashhad, IR Iran

4 Professor of Cardiology, Mashhad University of Medical sciences, Mashhad, Iran

5 Department of Cardiovascular Imaging, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Abstract

Introduction: Left ventricular Pseudoaneurysm is an interesting clinical entity. The left ventricular (LV) Pseudoaneurysm, in contrast to true LV aneurysm, contains only pericardial layer and fibrous elements in its wall. Case Presentation: We report a very rare case of a 47-year-old woman presents with an atypical form of LV apical Pseudoaneurysm confirmed by cardiac magnetic resonance imaging (CMRI). Conclusions: Due to the tendency of LV Pseudoaneurysms to rupture, early surgical intervention is recommended.

Keywords

References

  1. 1.Mahilmaran A, Nayar PG, Sheshadri M, Sudarsana G, Abraham KA. Left ventricular pseudoaneurysm caused by coronary spasm, Alizadeh Sani Z et al myocardial infarction, and myocardial rupture. Tex Heart Inst J. 2002;29(2):122–5.

    1. Tuan J, Kaivani F, Fewins H. Left ventricular pseudoaneurysm. Eur J Echocardiogr. 2008;9(1):107–9.
    2. Brown SL, Gropler RJ, Harris KM. Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature. Chest. 1997;111(5):1403–9.
    3. Tesler UF, Leccese A. Pseudoaneurysm of the free wall of the left ventricle without obstruction of major coronary arteries. Tex Heart Inst J. 1996;23(1):58–61.
    4. Oliveira SM, Dias P, Pinho T, Gavina C, Almeida PB, Madureira AJ, et al. [Giant left ventricular pseudoaneurysm: the diagnostic contribution of different non-invasive imaging modalities]. Rev Port Cardiol. 2012;31(6):439–44.
    5. Saigal R, Shrivastava S, Yadav RN, Mittal V. Pseudo-aneurysm of left ventricle. J Assoc Physicians India. 2008;56:200–1.
    6. Hsu YH, Chiu IS, Chien CT. Left ventricular pseudoaneurysm diagnosed by magnetic resonance imaging in a nine-year-old boy. Pediatr Cardiol. 1993;14(3):187–90.
    7. Dutta R, Kahn AM, Rathod A, Greenberg B. Utility of cardiac magnetic resonance imaging in evaluating left ventricular pseudoaneurysm. Congest Heart Fail. 2008;14(2):91–4.
    8. Konen E, Merchant N, Gutierrez C, Provost Y, Mickleborough L, Paul NS, et al. True versus false left ventricular aneurysm: differentiation with MR imaging--initial experience. Radiology. 2005;236(1):65–70.
Razavi International Journal of Medicine
Volume 2, Issue 4
October 2014

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