Skip to main content
Log in

Ventricular pseudoaneurysm after subacute myocardial infarction

  • Case Report
  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

A 55-year-old woman with a blank cardiac history was admitted in a regional hospital because of acute left sided heart failure. Initial evaluation showed a subacute inferior wall myocardial infarction with preserved left ventricular function and moderately severe mitral regurgitation. Before referral, coronary angiography was performed. Ventriculography revealed a posterior pseudoaneurysm that was missed initially. Fortunately she survived two almost fatal episodes of cardiac asthma in that hospital. After the diagnosis was made, she was sent to our tertiary care hospital, where she was urgently and successfully operated. A short review, with emphasis on diagnosing left ventricular pseudoaneurysm is presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Roberts WC, Morrow AG (1967) Pseudoaneurysm of the left ventricle: An unusual sequel of myocardial infarction and rupture of the heart. Am J Med 43:639–644

    Article  PubMed  CAS  Google Scholar 

  2. Chesler E, Korns ME, Semba T, Edwards JE (1969) False aneurysms of the left ventricle following myocardial infarction. Am J Cardiol 23:76–82

    Article  PubMed  CAS  Google Scholar 

  3. Dachman AH, Spindola-Franco H, Solomon N (1981) Left ventricular pseudoaneurysm. Its recognition and significance. JAMA 246:1951–1953

    Article  PubMed  CAS  Google Scholar 

  4. Vlodaver Z, Coe JI, Edwards JE (1975) True and false left ventricular aneurysms. Propensity for the latter to rupture. Circulation 51:567–572 (Abstract)

    PubMed  CAS  Google Scholar 

  5. Yeo TC, Malouf JF, Reeder GS, Oh JK (1999) Clinical characteristics and outcome in postinfarction pseudoaneurysm. Am J Cardiol 84:592–5, A8

    Article  PubMed  CAS  Google Scholar 

  6. Csapo K, Voith L, Szuk T, Edes I, Kereiakes DJ (1997) Postinfarction left ventricular pseudoaneurysm. Clin Cardiol 20:898–903

    Article  PubMed  CAS  Google Scholar 

  7. Frances C, Romero A, Grady D (1998) Left ventricular pseudoaneurysm. J Am Coll Cardiol 32:557–561

    Article  PubMed  CAS  Google Scholar 

  8. Nagle RE, Williams DO (1974) Proceedings: natural history of ventricular aneurysm without surgical treatment. Br Heart J 36:1037

    PubMed  CAS  Google Scholar 

  9. Dubnow MH, Burchell HB, Titus JL (1965) Postinfarction ventricular aneurysm. A clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J 70:753–760

    Article  PubMed  CAS  Google Scholar 

  10. Rao G, Zikria EA, Miller WH, Samadani SR, Ford WB (1974) Experience with sixty consecutive ventricular aneurysm resections. Circulation 50(2 Suppl):II149–153

    PubMed  CAS  Google Scholar 

  11. Gorlin R, Klein MD, Sullivan JM (1967) Prospective correlative study of ventricular aneurysm. Mechanistic concept and clinical recognition. Am J Med 42:512–31

    Article  PubMed  CAS  Google Scholar 

  12. Sorensen MB, Moat NE, Mohiaddin RH (2002) Images in cardiovascular medicine. False left ventricular aneurysm documented by magnetic resonance imaging. Circulation 105:1734

    Article  PubMed  Google Scholar 

  13. Varghese A, Pepper J, Pennell DJ (2005) Cardiovascular magnetic resonance of left ventricular pseudoaneurysm. Heart 91:477

    Article  PubMed  CAS  Google Scholar 

  14. Yavuzgil O, Gürgün C, Apaydin A, Çinar CS, Yüksel A, Kültürsay H (2006) A giant inferoposterior true aneurysm of the left ventricle mimicking a pseudoaneurysm. Int J Cardiovasc Imag 22:205–212

    Article  PubMed  Google Scholar 

  15. Kim RJ, Wu E, Rafael A, Chen EL, Parker MA, Simonetti O et al. (2000) The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med 343:1445–1453

    Article  PubMed  CAS  Google Scholar 

  16. Nagel E, Klein C, Paetsch I, Hettwer S, Schnackenburg B, Wegscheider K et al. (2003) Magnetic resonance perfusion measurements for the noninvasive detection of coronary artery disease. Circulation 108:432–437

    Article  PubMed  Google Scholar 

  17. Konen E, Merchant N, Gutierrez C, Provost Y, Mickleborough L, Paul NS et al. (2005) True versus false left ventricular aneurysm: differentiation with MR imaging-initial experience. Radiology 236:65–70

    PubMed  Google Scholar 

  18. Moreno R, Gordillo E, Zamorano J, Almeria C, Garcia-Rubira JC, Fernandez-Ortiz A et al. (2003) Long term outcome of patients with postinfarction left ventricular pseudoaneurysm. Heart 89:1144–1146

    Article  PubMed  CAS  Google Scholar 

  19. Natarajan MK, Salerno TA, Burke B, Chiu B, Armstrong PW (1994) Chronic false aneurysms of the left ventricle: management revisited. Can J Cardiol 10:927–931

    PubMed  CAS  Google Scholar 

  20. Pretre R, Linka A, Jenni R, Turina M (2000) Surgical treatment of acquired left ventricular pseudoaneurysms. Ann Thorac Surg 70:553–7

    Article  PubMed  CAS  Google Scholar 

  21. Komeda M, David TE (1993) Surgical treatment of postinfarction false aneurysms of the left ventricle. J␣Thorac Cardiovasc Surg 106:1189–1191

    PubMed  CAS  Google Scholar 

  22. Figueras J, Cortadellas J, Domingo E, Soler-Soler J␣(2001) Survival following self-limited left ventricular free wall rupture during myocardial infarction. Management differences between patients with or without pseudoaneurysm formation. Int J Cardiol 79:103–111

    Article  PubMed  CAS  Google Scholar 

  23. Yeo TC, Malouf JF, Oh JK, Seward JB (1998) Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med 128:299–305

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sebastiaan C. A. M. Bekkers.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bekkers, S.C.A.M., Borghans, R.A.P. & Cheriex, E.C. Ventricular pseudoaneurysm after subacute myocardial infarction. Int J Cardiovasc Imaging 22, 791–795 (2006). https://doi.org/10.1007/s10554-006-9100-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-006-9100-0

Keywords

Navigation