scholarly journals Left ventricular pseudoaneurysm: As manifestation of a very rare complication of ablation of an accessory pathway

2022 ◽  
Vol 14 (1) ◽  
pp. 84
Author(s):  
Y. Tir ◽  
K. Bouasria ◽  
O. Kassoul ◽  
M.S. Ait Messaoudene ◽  
R. Benkouar ◽  
...  
1981 ◽  
Vol 7 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Roberto Bassan ◽  
Waldir Jasbik ◽  
Maria Angelica De Souza ◽  
Alvaro Alves Nogueira ◽  
Fabio S. Oliveira Luz ◽  
...  

Author(s):  
Haleh Ashraf ◽  
Azadeh Sadatnaseri ◽  
Arya Aminorroaya ◽  
Zahra Kuhi ◽  
Nadia Zandi ◽  
...  

Introduction: Pseudoaneurysm may occur as a rare complication of myocardial infarction (MI) when a hemorrhagic process is covered by adherence of the visceral or parietal pericardium or of both, preventing the formation of cardiac tamponade. Pseudoaneurysm is prone to rupture because they are not easy to diagnose. Case presentation: Here, we report three cases of left ventricular pseudo-aneurysm (LVP) that all were related to MI. Two patients were managed conservatively, one of them was lost to follow-up, and the other one expired one month later. One patient underwent surgery, but he expired during post-operation period. Conclusions: High mortality rate of LVP emphasizes the importance of looking for it in cardiac evaluation of patients with history of MI. Due to available non-invasive modalities, the ability to differentiate LVP from other cardiac pathologies is improving. Still, the most recommended management of LVP is early surgery.


2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Audra Banisauskaite ◽  
Periaswamy Velavan ◽  
Jonathan Hasleton ◽  
Neeraj Mediratta ◽  
Monika Arzanauskaite ◽  
...  

Abstract Background Left ventricular (LV) pseudoaneurysm is a serious and rare complication of myocardial infarction (MI). It occurs when an injured myocardial wall ruptures and is contained by overlying adherent pericardium or scar tissue, most commonly it develops in patients with late presentation of MI and delayed revascularization. Case summary A 64-year-old man presented to the emergency department with intermittent central chest pain radiating to back and neck and increasing on deep inspiration, which was considered to be of musculoskeletal origin for a week, but worsened despite medications. Electrocardiography showed features of ST-elevation MI; a circumflex artery occlusion was found on coronary angiogram and angioplasty was performed. Cardiovascular magnetic resonance (CMR) revealed features of healed lateral wall rupture with adherent parietal pericardium and the patient was managed conservatively. Two months later the patient returned with severe chest pain; echocardiogram and cardiac computed tomography showed significant interval progression of the pseudoaneurysm. Aneurysmectomy was performed, after which the patient recovered and had none of the previous symptoms since. Follow-up CMR study revealed improvement of LV systolic function. Discussion A rare case of post-infarction LV pseudoaneurysm was reported. Multimodality imaging helped to detect and to differentiate this complication from the true aneurysm and to follow it up and plan the treatment. Conservative treatment was not effective in this case as the pseudoaneurysm progressed; aneurysmectomy helped to improve LV systolic function.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xin Li ◽  
Yu Wang ◽  
Dong Wang ◽  
Chaohui Lai ◽  
Chenxin Wang

Abstract Background Left ventricular pseudoaneurysm is a very rare complication following acute myocardial infarction, which results from a free wall rupture. Hemopericardium and cardiac tamponade caused by rupture of the free wall after acute myocardial infarction are often fatal. It is difficult to fully document the evolution of left ventricular pseudoaneurysm resulted from acute myocardial infarction with conservative treatment. Case presentation Herein, we followed a 75-year-old female patient for 3 years. Recorded the evolution of the disease: acute lateral myocardial infarction - emergency reperfusion therapy - cardiac rupture - positive successful rescue - the pseudoaneurysm formation - maintaining conservative treatment - gradual enlargement of the pseudoaneurysm - thrombosis in pseudoaneurysm - thrombus filling with pseudoaneurysm - finally stabilized condition - the treatment of coronary revascularization. Conclusions This case is reported here because of its scarcity, which provides provides us with a complete record of the entire evolution and an astonishing indication of the long-term prognosis of non-surgical treatment for pseudoventricular.


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