Left Ventricular Pseudoaneurysm Complicated With Very Late Rupture 5 Years After Myocardial Infarction

Khalid Al Saidi; Shahbaz A Malik; Arif Albulushi; Michael Moulton; Yiannis S Chatzizisis

doi:10.1016/j.jaccas.2019.08.019

Left Ventricular Pseudoaneurysm Complicated With Very Late Rupture 5 Years After Myocardial Infarction

JACC Case Rep. 2019 Oct 9;1(4):569-572. doi: 10.1016/j.jaccas.2019.08.019. eCollection 2019 Dec.

Authors

Khalid Al Saidi¹, Shahbaz A Malik¹, Arif Albulushi¹, Michael Moulton², Yiannis S Chatzizisis¹

Affiliations

¹ Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
² Division of Cardiothoracic Surgery, University of Nebraska Medical Center, Omaha, Nebraska.

Abstract

This is a case of a chronic left ventricular pseudoaneurysm after inferior myocardial infarction that remained clinically silent for 5 years before presenting with sudden rupture, leading to hemopericardium and cardiac tamponade. We discuss the importance of surveillance for left ventricular pseudoaneurysms, the limitations of echocardiography, and the critical role of computed tomography angiography imaging to establish the diagnosis and guide therapy. (Level of Difficulty: Beginner.).

Keywords: CTA, computed tomography angiography; LV, left ventricular; MI, myocardial infarction; computed tomography; echocardiography; left ventricle; myocardial infarction; tamponade.

Publication types

Case Reports