J Cardiovasc Imaging.  2020 Jan;28(1):74-76. 10.4250/jcvi.2019.0082.

Left Ventricular Apical Pseudoaneurysm with Cardiac Tamponade

• Tiwari P
• Patel T
• Shah S
• Dev M

• KMID: 2468386
• DOI: http://doi.org/10.4250/jcvi.2019.0082

Abstract

No abstract available.

MeSH Terms

Aneurysm, False*
Cardiac Tamponade*

Figure

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  Figure 1 Electrocardiogram shows QS complexes in V1-V4 with persistent ST segment elevation and T wave inversion in precordial leads.

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  Figure 2 Modified apical 4 chambered view showing a large apical pseudoaneurysm originating from the LV with a narrow neck and thin walls. Massive PE can be seen surround the LV. LV: left ventricle, PE: pericardial effusion.

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  Figure 3 Modified apical 4 chambered view with colour Doppler demonstrating bidirectional shunt.

Reference

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3. Kawakami Y, Hirose K, Watanabe Y, et al. Myocardial free wall rupture and thrombolytic therapy in acute myocardial infarction. Kokyu To Junkan. 1989; 37:1109–1112.

4. Vlodaver Z, Coe JI, Edwards JE. True and false left ventricular aneurysms. Propensity for the altter to rupture. Circulation. 1975; 51:567–572.