Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report

Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report BackgroundLeft ventricular pseudoaneurysm is a recognized, however, uncommon presentation of acute myocardial infarction in the current era. This is due to early reperfusion therapy for acute myocardial infarction. Left ventricular pseudoaneurysm after myocardial infarction can present in a variety of ways, including heart failure, chest pain, and dyspnoea.Case summaryWe present a case of a 61-year-old male who presented with extremely atypical symptoms of dysphagia and weight loss due to a massive left ventricular pseudoaneurysm. Transthoracic echocardiogram and computed tomography revealed a large pseudoaneurysm causing mass effect on multiple gastrointestinal organs. Organic causes for dysphagia and weight loss were ruled out by gastroscopy. Surgical management was carried out but was ultimately unsuccessful.DiscussionDespite the heterogeneity in presentation for patients with left ventricular pseudoaneurysm, rapid diagnosis is important for management and prognosis. Diagnostic tools include transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging. Management is usually surgical; however, there is some debate in the literature regarding conservative vs. surgical management for chronic pseudoaneurysms. More data are needed to determine optimal management strategies and prognosis for patients with left ventricular pseudoaneurysms. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Heart Journal - Case Reports Oxford University Press

Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report

Pirzada, Ashar; Styles, Kim; Stewart, Robbie
European Heart Journal - Case Reports , Volume 7 (1): 1 – Jan 3, 2023
Download PDF
5 pages

Loading next page...
 
/lp/oxford-university-press/massive-left-ventricular-pseudoaneurysm-presenting-as-dysphagia-a-case-7mv9uzclBy
Publisher
Oxford University Press
Copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
eISSN
2514-2119
DOI
10.1093/ehjcr/ytac495
Publisher site
See Article on Publisher Site

Abstract

BackgroundLeft ventricular pseudoaneurysm is a recognized, however, uncommon presentation of acute myocardial infarction in the current era. This is due to early reperfusion therapy for acute myocardial infarction. Left ventricular pseudoaneurysm after myocardial infarction can present in a variety of ways, including heart failure, chest pain, and dyspnoea.Case summaryWe present a case of a 61-year-old male who presented with extremely atypical symptoms of dysphagia and weight loss due to a massive left ventricular pseudoaneurysm. Transthoracic echocardiogram and computed tomography revealed a large pseudoaneurysm causing mass effect on multiple gastrointestinal organs. Organic causes for dysphagia and weight loss were ruled out by gastroscopy. Surgical management was carried out but was ultimately unsuccessful.DiscussionDespite the heterogeneity in presentation for patients with left ventricular pseudoaneurysm, rapid diagnosis is important for management and prognosis. Diagnostic tools include transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging. Management is usually surgical; however, there is some debate in the literature regarding conservative vs. surgical management for chronic pseudoaneurysms. More data are needed to determine optimal management strategies and prognosis for patients with left ventricular pseudoaneurysms.

Journal

European Heart Journal - Case Reports – Oxford University Press

Published: Jan 3, 2023

Keywords: Myocardial infarction; Pseudoaneurysm; Echocardiography; Computed tomography; Case report

References

  • Postinfarction left ventricular pseudoaneurysm
    Stańczak, P; Janion-Sadowska, A; Sadowski, M; Sadowski, J; Janion, M
  • Left ventricular pseudoaneurysm
    Frances, C; Romero, A; Grady, D
  • Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period
    Figueras, J; Alcalde, O; Barrabés, JA; Serra, V; Alguersuari, J; Cortadellas, J
  • Unusual presentation of left ventricular rupture
    Bhullar, AS; Sandhu, CS; Bhullar, MS; Rathod, A
  • Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm
    Yeo, TC; Malouf, JF; Oh, JK; Seward, JB
  • Massive false aneurysm of the left ventricle with dysphagia
    McIlmoyle, G; McLoughlin, MJ; Silver, MD
  • Left ventricular pseudoaneurysm: an overview of diagnosis and management
    Inayat, F; Ghani, AR; Riaz, I; Ali, NS; Sarwar, U; Bonita, R
  • Left ventricular pseudoaneurysm: a case report and review of the literature
    Alapati, L
  • Left ventricular true and false aneurysms identified by cardiovascular magnetic resonance
    Gill, S; Rakhit, DJ; Ohri, SK; Harden, SP
  • Long term outcome of patients with postinfarction left ventricular pseudoaneurysm
    Moreno, R; Gordillo, E; Zamorano, J; Almeria, C; Garcia-Rubira, JC; Fernandez-Ortiz, A; Macaya, C