An unruptured 'Pocket – Like' giant apical pseudoaneurysm of the left ventricle: A case report

Autor: Elarbi Noureddine, Abdejlil Farhati, Yaakoubi Wael, Zouari Fourat, Ben Hlima Manel, Boudiche Selim, Mghaith Fathia, Mourali Mohamed Sami, Rekik Bassem, Ouali Sana
Rok vydání: 2021
Předmět:
Zdroj: Journal of Clinical Images and Medical Case Reports. 2
ISSN: 2766-7820
DOI: 10.52768/2766-7820/1232
Popis: Cardiac pseudoaneurysm is rare and appears mostly as tardive complication of Acute Myocardial Infarct (AMI). Its apical localization is also scarce as it is usually described in posterior or lateral wall of left ventricle. Its diagnosis is based on cardiac imaging. We report a case of a hypertensive, diabetic and smoking 64-year-old man with a past history of anterior AMI. He was symptomatic of chest discomfort. Physical examination indicates an apical murmur, his electrocardiogram showed a regular sinus rhythm and a complete left branch block. The Transthoracic (TTE) echocardiography revealed a giant apical pocketlike aneurysm lined with a clot. Cardiac Magnetic Resonance Imaging (CMRI) confirmed the diagnosis of an apical pseudoaneurysm due to ischemic heart disease in the stage of severe heart failure.
Databáze: OpenAIRE