Cardiac Pseudoaneurysm- A Death Defying Entity
Published: June 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7936
Manoj Mathur, Saryu Gupta
1. Associate Professor, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India.
2. Assistant Professor, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India.
Correspondence
Dr. Manoj Mathur,
250, Phulkian Enclave, Patiala-147001, Punjab, India.
E-mail: manojnidhi66@gmail.com
A pseudoaneurysm refers to a contained rupture of the myocardium with a tenuous pericardium walling off the leak. It needs to be differentiated from a true aneurysm by the fact that there is lack of myocardial tissue in the wall of a pseudoaneurysm. The differentiation between the two is pertinent as true aneurysms can be treated medically while pseudoaneurysms require urgent surgical treatment. Untreated pseudoaneurysms carry a high risk of rupture and mortality. We report a case of cardiac pseudoaneurysm developing in a 46-year-old male who had suffered myocardial infarction four months back. The patient now presented with chest pain and dyspnoea. CECT chest revealed a partially thrombosed large pseudoaneurysm arising from the posterior wall of left ventricle. While the clinical diagnosis of this entity is difficult, CECT plays a pivotal role in the non-invasive detection of pseudoaneurysms.
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