Open AccessGiant Left Ventricular Pseudoaneurysm as a Late Complication of Myocardial Infarction
Author(s) -
Inês Silveira,
Patrícia Rodrigues,
Catarina Gomes,
Severo Torres
Publication year - 2018
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_39_17
Subject(s) - medicine , pseudoaneurysm , myocardial infarction , heart aneurysm , cardiology , aneurysm , magnetic resonance imaging , thrombus , complication , cardiac magnetic resonance imaging , radiology , differential diagnosis , left ventricular aneurysm , transthoracic echocardiogram , pathology
We present a case of a 63-year-old patient referred to a cardiology consultation due to progressive symptoms of heart failure. He had a history of an inferior ST elevation acute myocardial infarction 6 years ago. Echocardiogram revealed a giant left ventricular aneurysm/pseudoaneurysm involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus. Additional characterization was done by cardiac magnetic resonance, essential in establishing the diagnosis of pseudoaneurysm and to guide subsequent management. In this case, we discuss the differential diagnosis between aneurysm and pseudoaneurysm and highlight the role of non-invasive multimodality imaging.