Corresponding Author(s): Nijat Aliyev
University of Utah School of Medicine, Division of Cardiovascular Medicine, Cardiovascular Center, 50 North Medical Drive, Salt Lake City, UT 84132, USA
nijat.aliyev@hsc.utah.edu
801-585-7676, Fax: 801-581-7735;
Bovet P (2021).
This Article is distributed under the terms of Creative Commons Attribution 4.0 International License
Received | : | Jul 23, 2020 |
Accepted | : | Aug 21, 2020 |
Published Online | : | Aug 25, 2020 |
Journal | : | Annals of Cardiology and Vascular Medicine |
Publisher | : | MedDocs Publishers LLC |
Online edition | : | http://meddocsonline.org |
Cite this article: Cite this article: Aliyev N, Ibrahim M. Cardiac Magnetic Resonance Imaging of Massive Left Ventricular Pseudoaneurysm. Ann Cardiol Vasc Med. 2020: 3(1); 1024.
Keywords: Magnetic Resonance Imaging (MRI); Imaging; Diagnostic Testing; Heart Failure; Myocardial Infarction.
A 64-year-old man with history of coronary artery disease, end-stage renal disease presented with progressive abdominal pain. Abdominal computed tomography revealed nephrolithiasis and hemopericardium. Notably, three years prior to this presentation he had inferior ST-elevation myocardial infarction with Percutaneous Coronary Intervention (PCI) to the right coronary artery. His post PCI course was complicated by Ventricular Septal Defect (VSD) for which he underwent pericardial patch repair. During the current admission, a cardiac magnetic resonance imaging was obtained (Figure 1, Figure 3). This revealed large rupture in the basal inferior and inferoseptal segments of the myocardium with massive pseudoaneurysm and small thrombus formation (Figure 2, Figure 4, Supplementary Video – MRI Cine 2-chamber view, Video – MRI Cine short axis view). Later on, he developed heart failure and eventually underwent simultaneous heart and kidney transplantation. During post-transplant follow-up at three months, he was doing well with no reported allograft rejection.
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