Abstract

GONZALEZ MENDEZ, Melvis; HERRERA WAINSHTOK, Ana Claribel; ACOSTA HERNANDEZ, Damaris  and  MARQUEZ HERNANDEZ, Rey Augusto. Left ventricular pseudoaneurysm . Rev Cub Med Mil [online]. 2018, vol.47, n.3, pp. 1-6. ISSN 1561-3046.

The cardiac pseudoaneurysm is a rare entity, which occurs when there is an incomplete rupture of the heart wall and the pericardium seals the rupture. A neocavity develops communicating with the ventricular cavity through a narrow orifice. The objective of this study is to report a rare case of left ventricular pseudoaneurysm. We present a 69-year-old male patient with a history of myocardial infarction three years prior to admission. The patient goes to the emergency room for chest pain and dyspnea. He underwent chest X-rays for rear-anterior view showing a radiopaque image with nodular tendency that erases the left cardiac line. Transthoracic ultrasound and computerized helical tomography are used to complement the examination. A saccular image is shown by adding to the lateral wall of the left ventricle with wall thrombus inside, a communicating narrow neck. It was concluded that it was a left ventricular pseudoaneurysm. This is an entity that presents high mortality, so it is necessary to make timely diagnosis, in order to take the appropriate medical behavior for preventing complications.

Keywords : ventricular pseudoaneurysm; myocardial infarction; transthoracic ultrasound; computed tomography.

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