Decoding Postinfarction Left Ventricular Pseudoaneurysm

Emily K Nguyen; Promporn Suksaranjit; Mohammad A Bashir; Dennis J Firchau; Milena A Gebska

doi:10.1016/j.jaccas.2022.07.005

Decoding Postinfarction Left Ventricular Pseudoaneurysm

JACC Case Rep. 2022 Nov 3:9:101533. doi: 10.1016/j.jaccas.2022.07.005. eCollection 2023 Mar 1.

Authors

Emily K Nguyen¹, Promporn Suksaranjit², Mohammad A Bashir³, Dennis J Firchau⁴, Milena A Gebska²

Affiliations

¹ Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
² Division of Cardiovascular Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
³ Division of Cardiothoracic Surgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
⁴ Department of Pathology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

Abstract

Recognizing true from pseudo left ventricular aneurysm after myocardial infarction is paramount to guide clinical management and determine need for surgical urgency. We discuss a case of a postinfarction pseudoaneurysm that poses unique anatomic challenges and may hold a secret "DaVinci code" beyond current diagnostic criteria. (Level of Difficulty: Advanced.).

Keywords: CMR, cardiac magnetic resonance; HRCT, high-resolution cardiac computed tomography; LV, left ventricle, left ventricular; MI, myocardial infarction; TTE, transthoracic echocardiography; acute myocardial infarction; complications; coronary artery disease; pseudoaneurysm.

Publication types

Case Reports