Open AccessLeft ventricular pseudoaneurysm diagnosed with multi-detector computer tomography
Author(s) -
Luciano Cardinale,
Marco Bosa,
P. Destefanis,
Roberta Giorcelli
Publication year - 2008
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2008.05.009
Subject(s) - pseudoaneurysm , medicine , tomography , detector , computed tomography , radiology , cardiology , computer science , aneurysm , telecommunications
A 62-year-old man with chronic myelomonocytic leukaemia presented increasing dyspnoea one month after a pericardiocentesis. Chest MDCT scan (Figs. 1 and 2) showed left ventricle pouching of contrast material, suggestive of pseudoaneurysm (probably iatrogenic), confirmed with trans-thoracic echo-cardiogram (Video 1). Surgical repair successfully closed the ventricle-pseudoa-neurysm connection. Fig. 1. Coronal (a) and sagittal (b) thin-slab MIP image from non-ECG-gated CT scan of the thorax showing the left ventricle pseudoaneurysm. It probably had iatrogenic origin. Fig. 2. Panoramic view coronal volume rendering image showing the pseu-doaneurysm and the connection with left ventricle. The reconstruction gives an immediate idea of lesion appearance.
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