Abstract
We present a case of a 55-year-old men who suffered a silent myocardial infarction four years earlier and presented with exertional dyspnoea. Cardiac magnetic resonance imaging (CMR) and Multislice computed tomography (MSCT) was performed and revealed a giant pseudoaneursym of the lateral wall of the left ventricle with the presence of a thrombus in the lateral wall of the pseudoaneursym. We present this case since excellent non-invasive evaluation of the pseudoaneursym was feasible using state-of-the-art imaging modalities. Information on left ventricular geometry and function as well as myocardial viability and coronary anatomy is available when both MSCT and CMR are performed. This combined approach of these two imaging modalities provide clinically relevant information and may guide therapeutic decision making.
References
Vlodaver Z, Coe JI, Edwards JE., (1975) True and false left ventricular aneurysms. Propensity for the altter to rupture. Circulation 51(3):567
Frances C, Romero A, Grady D., (1998) Left ventricular pseudoaneurysm. J Am Coll Cardiol 32(3):557–61
Brown SL, Gropler RJ, Harris KM., (1997). Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature. Chest 111(5):1403–9
Mollet NR, Cademartiri F, Krestin GP, McFadden EP, Arampatzis CA, Serruys PW, et al. (2005). Improved diagnostic accuracy with 16-row multi-slice computed tomography coronary angiography. J Am Coll Cardiol 45(1):128–32
Baks T, van Geuns RJ, Biagini E, Wielopolski P, Mollet NR, Cademartiri F, et al. (2005). Recovery of left ventricular function after primary angioplasty for acute myocardial infarction. Eur Heart J 26(11):1070–7
Ohnesorge BM, Hofmann LK, Flohr TG, Schoepf UJ., (2005). CT for imaging coronary artery disease: defining the paradigm for its application. Int J Cardiovasc Imaging 21(1):85–104
Kim RJ, Fieno DS, Parrish TB, Harris K, Chen EL, Simonetti O, et al. (1999). Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation 100(19):1992–2002
Boxt LM., (2005). CT anatomy of the heart. Int J Cardiovasc Imaging 21(1):13–27
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Address for correspondence: T. Baks MD, Erasmus Medical Center, Department of Cardiology and Radiology Thoraxcenter, Ca 227a, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands Tel.: +31-10-463-4127; Fax: +31-10-463-4320 E-mail: t.baks@erasmusmc.nl
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Baks, T., Cademartiri, F., Spierenburg, H.A.M. et al. Chronic pseudoaneurysm of the left ventricle. Int J Cardiovasc Imaging 22, 497–499 (2006). https://doi.org/10.1007/s10554-005-9017-z
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DOI: https://doi.org/10.1007/s10554-005-9017-z