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Left ventricle pseudoaneurysm: contribution of multimodality imaging to the diagnosis.

Bertrand Fikahem EM, Franck Hardain OO, Flore Solange MN, Christian Michel KL, Thierry Raoul G, Suzy-Gisèle KK - Case Rep Cardiol (2014)

Bottom Line: Sometimes the cause is not found.The treatment is surgical only.The patient is waiting for heart surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, University Hospital of Brazzaville, P.O. Box 32, Brazzaville, Democratic Republic of Congo ; Department of Medicine, Faculty of Health Science, Marien Ngouabi University, P.O. Box 2672, Brazzaville, Democratic Republic of Congo.

ABSTRACT
The left ventricle pseudoaneurysm is an anomaly of the left ventricle and is severed and joined with a pocket look. There may be secondary to a myocardial infarction, trauma, or surgical procedure. Sometimes the cause is not found. Complications are heart failure, arrhythmias, vascular embolism, and sudden death. The treatment is surgical only. The authors report the case of a black patient of 64 years old, without medical history, had seen to a deformation of the cardiac shadow in radiography. The left ventricle pseudoaneurysm and in situ thrombus are visualized in echocardiography and CT scan. The patient is waiting for heart surgery.

No MeSH data available.


Related in: MedlinePlus

Chest CT scan imaging. (a) Cross-section showing the diameters of the pseudoaneurysm (45.9 mm × 68.4 mm). (b) Visualization of the neck between the left ventricle and the false aneurysm. (c) shows a sagittal diameter of 71 mm. (d) 3D reconstruction of the left ventricle communicating with the pseudoaneurysm.
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fig3: Chest CT scan imaging. (a) Cross-section showing the diameters of the pseudoaneurysm (45.9 mm × 68.4 mm). (b) Visualization of the neck between the left ventricle and the false aneurysm. (c) shows a sagittal diameter of 71 mm. (d) 3D reconstruction of the left ventricle communicating with the pseudoaneurysm.

Mentions: The EKG in sinus rhythm had objectified negative T waves in the lateral area (Figure 1(b)). In echocardiography, heart dimensions were normal. The ejection fraction in Simpson four cavities was 57% (Figure 2(a)). We visualized a neocavity connected with the apex of left ventricle (Figure 2(b)) by a collar of 0.92 cm of diameter (Figure 2(c)). These aspects suggested a pseudoaneurysm. In addition, a poorly limited rounded mass was hyperechoic and pendant at the bottom of pseudoaneurysm, suggesting a thrombus (Figure 2(d)). The precise boundaries of the pocket could not be specified in ultrasound apical and subcostal. The thoracic CT scan with injection of contrast material had showed in cross-sectional (Figure 3(a)) the dimensions of LVPA: 45.9 mm × 68.4 mm. In the same section, a communication between the pseudoaneurysm and left ventricle is noted (Figure 3(b)). In front section (Figure 3(c)), the longest diameter of LVPA was 71 mm. A reconstruction of LVPA was performed in 3D imaging (Figure 3(d)).


Left ventricle pseudoaneurysm: contribution of multimodality imaging to the diagnosis.

Bertrand Fikahem EM, Franck Hardain OO, Flore Solange MN, Christian Michel KL, Thierry Raoul G, Suzy-Gisèle KK - Case Rep Cardiol (2014)

Chest CT scan imaging. (a) Cross-section showing the diameters of the pseudoaneurysm (45.9 mm × 68.4 mm). (b) Visualization of the neck between the left ventricle and the false aneurysm. (c) shows a sagittal diameter of 71 mm. (d) 3D reconstruction of the left ventricle communicating with the pseudoaneurysm.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129144&req=5

fig3: Chest CT scan imaging. (a) Cross-section showing the diameters of the pseudoaneurysm (45.9 mm × 68.4 mm). (b) Visualization of the neck between the left ventricle and the false aneurysm. (c) shows a sagittal diameter of 71 mm. (d) 3D reconstruction of the left ventricle communicating with the pseudoaneurysm.
Mentions: The EKG in sinus rhythm had objectified negative T waves in the lateral area (Figure 1(b)). In echocardiography, heart dimensions were normal. The ejection fraction in Simpson four cavities was 57% (Figure 2(a)). We visualized a neocavity connected with the apex of left ventricle (Figure 2(b)) by a collar of 0.92 cm of diameter (Figure 2(c)). These aspects suggested a pseudoaneurysm. In addition, a poorly limited rounded mass was hyperechoic and pendant at the bottom of pseudoaneurysm, suggesting a thrombus (Figure 2(d)). The precise boundaries of the pocket could not be specified in ultrasound apical and subcostal. The thoracic CT scan with injection of contrast material had showed in cross-sectional (Figure 3(a)) the dimensions of LVPA: 45.9 mm × 68.4 mm. In the same section, a communication between the pseudoaneurysm and left ventricle is noted (Figure 3(b)). In front section (Figure 3(c)), the longest diameter of LVPA was 71 mm. A reconstruction of LVPA was performed in 3D imaging (Figure 3(d)).

Bottom Line: Sometimes the cause is not found.The treatment is surgical only.The patient is waiting for heart surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, University Hospital of Brazzaville, P.O. Box 32, Brazzaville, Democratic Republic of Congo ; Department of Medicine, Faculty of Health Science, Marien Ngouabi University, P.O. Box 2672, Brazzaville, Democratic Republic of Congo.

ABSTRACT
The left ventricle pseudoaneurysm is an anomaly of the left ventricle and is severed and joined with a pocket look. There may be secondary to a myocardial infarction, trauma, or surgical procedure. Sometimes the cause is not found. Complications are heart failure, arrhythmias, vascular embolism, and sudden death. The treatment is surgical only. The authors report the case of a black patient of 64 years old, without medical history, had seen to a deformation of the cardiac shadow in radiography. The left ventricle pseudoaneurysm and in situ thrombus are visualized in echocardiography and CT scan. The patient is waiting for heart surgery.

No MeSH data available.


Related in: MedlinePlus