RT Journal Article
T1 Left ventricular pseudoaneurysm expansion without surgical treatment
A1 De Agustín Loeches, José Alberto
A1 Fernández Golfín, Covadonga
A1 Almería, Carlos
A1 Macaya Miguel, Carlos
A1 Zamorano Gómez, José Luis
AB An 82-year-old man was admitted with acute inferior wall myocardial infarction and underwent successful percutaneous coronary intervention for the right coronary artery. Pre-discharge transthoracic echocardiogram revealed a dyskinetic cavity connected to the posterior left ventricular wall (Panel A). Cardiac magnetic resonance confirmed the presence of a pseudoaneurysm with a maximum internal end-systolic dimension of 1.5 × 2 × 1 cm (Panel B). Surgery was strongly recommended to the patient and his family but they declined.One year later the patient was readmitted to the hospital with progressively worsening exertional dyspnoea. Chest X-ray revealed a rounded opacity silhouetting the left cardiac border (Panel C). Echocardiogram showed a great increase in the size of the pseudoaneurysm to ∼7 ×6 ×5 cm, which was communicating with the left ventricle through a 3-cm defect in the posterior left ventricular wall (Panels D and E, Supplementary data online, Video S1). The pseudoaneurysm was contained by a thin layer of visceral pericardium surrounded by thrombotic material in the pericardial space.
PB Oxford University Press
SN 2047-2412
YR 2012
FD 2012-01-26
LK https://hdl.handle.net/20.500.14352/131930
UL https://hdl.handle.net/20.500.14352/131930
LA eng
NO José Alberto de Agustín, Covadonga Fernández-Golfín, Carlos Almería, Carlos Macaya, José Zamorano, Left ventricular pseudoaneurysm expansion without surgical treatment, European Heart Journal - Cardiovascular Imaging, Volume 13, Issue 6, June 2012, Page 534, https://doi.org/10.1093/ehjci/jes015
DS Docta Complutense
RD 19 mar 2026