Left ventricular pseudoaneurysm: an atypical case associated with a small ventricular septal defect.
We present an atypical case of postinfarction left ventricular pseudoaneurysm involving the posterobasal septal wall, with protrusion into the right ventricle, associated with a small septal defect and left-to-right shunt. In this case, a conservative approach was adopted rather than surgical management, and the patient had a good clinical outcome. Subsequent evaluation with two-dimensional colour Doppler, three-dimensional echocardiography and 16-slice computed tomography is reported.
Maffe'
Stefano
S
Division of Cardiology, Borgomanero Hospital, ASL 13, Novara, Italy. stemaffe@libero.it
Zenone
Franco
F
Paffoni
Paola
P
Pardo
Nicolò Franchetti
NF
Dellavesa
Pierfranco
P
Perucca
Antonello
A
Parravicini
Umberto
U
Paino
Anna Maria
AM
Bielli
Massimo
M
Signorotti
Fabiana
F
Zanetta
Marco
M
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy; D017023:Coronary Angiography; D019560:Echocardiography, Three-Dimensional; D004562:Electrocardiography; D006345:Heart Septal Defects, Ventricular / Q000453:epidemiology*; D006801:Humans; D008297:Male; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy