Chronic pseudoaneurysm of the left ventricle.
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.
Baks
Timo
T
Department of Cardiology, Thoraxcenter, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. t.baks@erasmusmc.nl
Cademartiri
Filippo
F
Spierenburg
Han A M
HA
de Feyter
Pim J
PJ
D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002908:Chronic Disease; D003287:Contrast Media; D019786:Gadolinium DTPA; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014283:Triiodobenzoic Acids
D003287:Contrast Media; D014283:Triiodobenzoic Acids; C044834:iodixanol; D019786:Gadolinium DTPA