Advertisement

Journal of Echocardiography

, Volume 13, Issue 2, pp 72–73 | Cite as

Subacute giant left ventricular pseudoaneurysm mimicking pneumonia

  • Wei-Chieh LeeEmail author
  • Morgan Fu
Images in Cardiovascular Ultrasound
  • 81 Downloads

Case report

A 79-year-old housewife experienced sudden-onset chest tightness and was diagnosed with an inferoposterior wall myocardial infarction (MI). Coronary angiography showed two-vessel coronary artery disease with lesions of 70–80 % stenosis of the proximal left anterior artery (LAD) and total occlusion of the proximal left circumflex artery (LCX). An emergent percutaneous coronary intervention (PCI) was performed for the culprit lesion of the proximal LCX. It took about 6 h from chest tightness to revascularization. Transthoracic echocardiogram (TTE) showed impaired left ventricular performance (LVP), with mild mitral regurgitation. Two weeks later, a chest radiography showed progressive left lower lung consolidation. Uncontrolled pneumonia was resent initially; however, symptoms of advanced heart failure progressed. Therefore, PCI was performed for the lesion of the proximal LAD. Unfortunately, symptoms of heart failure did not improve after total coronary revascularization and...

Keywords

Percutaneous Coronary Intervention Mitral Regurgitation Pericardial Effusion Mitral Valve Repair Chest Tightness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

All authors (Wei-Chieh Lee and Morgan Fu) certify that there is no actual or potential conflict of interest in relation to this article.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and its later revisions. Informed consent was obtained from all patients for being included in the study.

Supplementary material

Video 1

Moderate mitral regurgitation, huge pseudoaneurysm of the inferoposterior aspect of the lateral wall of the LV. (AVI 6574 kb)

References

  1. 1.
    Loop FD, Effler DB, Webster JS, et al. Posterior ventricular aneurysms. Etiologic factors and results of surgical treatment. N Engl J Med. 1973;288:237–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Brown SL, Gropler RJ, Harris KM. Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature. Chest. 1997;111:1403–9.PubMedCrossRefGoogle Scholar
  3. 3.
    Moreno R, Gordillo E, Zamorano J, et al. Long term outcome of patients with postinfarction left ventricular pseudoaneurysm. Heart. 2003;89:1144–6.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Jáuregui B, Sobrino JM, Lage E, et al. Giant unruptured left ventricular pseudoaneurysm as a rare cause of heart failure after an unnoticed coronary ischaemic event. Eur Heart J Cardiovasc Imaging. 2013;14:720.PubMedCrossRefGoogle Scholar
  5. 5.
    Hoey DR, Kravitz J, Vanderbeek PB, et al. Left ventricular pseudoaneurysm causing myocardial infarction and cerebrovascular accident. J Emerg Med. 2005;28:431–5.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Society of Echocardiography 2015

Authors and Affiliations

  1. 1.Division of Cardiology, Department of Internal MedicineKaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung CityTaiwan, ROC

Personalised recommendations