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Left ventricular pseudoaneurysm found by CT scan.

Hirose H, Matsunaga I, Strong MD - Open Cardiovasc Med J (2008)

Bottom Line: A 62-year-old male with a previous coronary artery bypass grafting underwent CT scan for evaluation of left epigastric pain.Findings showed a large left ventricular pseudoaneurysm, which was subsequently confirmed by left ventriculogram.The pseudoaneurysm was successfully repaired surgically.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Drexel University College of Medicine, Philadelphia, PA. USA. genex@nifty.com

ABSTRACT
A 62-year-old male with a previous coronary artery bypass grafting underwent CT scan for evaluation of left epigastric pain. Findings showed a large left ventricular pseudoaneurysm, which was subsequently confirmed by left ventriculogram. The pseudoaneurysm was successfully repaired surgically.

No MeSH data available.


Related in: MedlinePlus

Left ventriculogram demonstrates left ventricular pseudoaneurysm.
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Figure 2: Left ventriculogram demonstrates left ventricular pseudoaneurysm.

Mentions: A 62-year-old male with a past medical history significant for a coronary artery bypass grafting 10 years prior presented with 3 weeks of persistent left epigastric pain. He denied dyspnea or chest pain. On exam, he was hemodynamically stable, in no apparent distress, and no audible murmur. EKG showed Q wave on the inferior leads suggest ing old myocardial infarct, which was unchanged from a previous EKG performed 3 months prior. A complete series of cardiac enzymes ruled out acute myocardial infarction. Because of the previous coronary bypass surgery and his atypical symptom, the patient underwent cardiac catheterization which showed patent grafts (left internal mammary artery to the left anterior descending artery and saphenous vein graft to the obtuse marginal artery) and intact right coronary system. Left ventriculography was not performed at that time. Transthoracic echocardiography showed severely decreased left ventricular function. Because of persistent pain in the left epigastric area to the left flank, a contrast CT scan was obtained to role out intraabdominal pathology. The 16 slice spiral CT scan with intravenous contrast demonstrated a large LV pseudoaneurysm (Fig. 1). There was no other intraabdominal lesion was observed. Left ventriculogram was subsequently performed and confirmed the LV pseudoaneurysm (Fig. 2).


Left ventricular pseudoaneurysm found by CT scan.

Hirose H, Matsunaga I, Strong MD - Open Cardiovasc Med J (2008)

Left ventriculogram demonstrates left ventricular pseudoaneurysm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2570575&req=5

Figure 2: Left ventriculogram demonstrates left ventricular pseudoaneurysm.
Mentions: A 62-year-old male with a past medical history significant for a coronary artery bypass grafting 10 years prior presented with 3 weeks of persistent left epigastric pain. He denied dyspnea or chest pain. On exam, he was hemodynamically stable, in no apparent distress, and no audible murmur. EKG showed Q wave on the inferior leads suggest ing old myocardial infarct, which was unchanged from a previous EKG performed 3 months prior. A complete series of cardiac enzymes ruled out acute myocardial infarction. Because of the previous coronary bypass surgery and his atypical symptom, the patient underwent cardiac catheterization which showed patent grafts (left internal mammary artery to the left anterior descending artery and saphenous vein graft to the obtuse marginal artery) and intact right coronary system. Left ventriculography was not performed at that time. Transthoracic echocardiography showed severely decreased left ventricular function. Because of persistent pain in the left epigastric area to the left flank, a contrast CT scan was obtained to role out intraabdominal pathology. The 16 slice spiral CT scan with intravenous contrast demonstrated a large LV pseudoaneurysm (Fig. 1). There was no other intraabdominal lesion was observed. Left ventriculogram was subsequently performed and confirmed the LV pseudoaneurysm (Fig. 2).

Bottom Line: A 62-year-old male with a previous coronary artery bypass grafting underwent CT scan for evaluation of left epigastric pain.Findings showed a large left ventricular pseudoaneurysm, which was subsequently confirmed by left ventriculogram.The pseudoaneurysm was successfully repaired surgically.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Drexel University College of Medicine, Philadelphia, PA. USA. genex@nifty.com

ABSTRACT
A 62-year-old male with a previous coronary artery bypass grafting underwent CT scan for evaluation of left epigastric pain. Findings showed a large left ventricular pseudoaneurysm, which was subsequently confirmed by left ventriculogram. The pseudoaneurysm was successfully repaired surgically.

No MeSH data available.


Related in: MedlinePlus