An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position.

Autor: Manasewitsch NT; Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA., Antwi-Amoabeng D; Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA., Lu E; Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA., Beutler BD; Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA., Rowan CJ; Cardiology, University of Nevada, Reno School of Medicine, Reno, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 Sep 04; Vol. 12 (9), pp. e10245. Date of Electronic Publication: 2020 Sep 04.
DOI: 10.7759/cureus.10245
Abstrakt: Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram. We report an unusual presentation of LV pseudoaneurysm and discuss a possible link between Trendelenburg position and the development of LV pseudoaneurysm.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Manasewitsch et al.)
Databáze: MEDLINE