Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Gen Thorac Cardiovasc Surg. 2021 Jul;69(7):1151-1154. doi: 10.1007/s11748-021-01633-1. Epub 2021 Apr 18.
Right ventricular (RV) pseudoaneurysm is very rare and is seen after penetrating chest trauma, cardiac surgery, infective endocarditis, myocardial infarction, syphilis, endomyocardial biopsy, lead extraction. Idiopathic right ventricular pseudoaneurysm is even rarer. They have varied presentations depending on the etiology. Diagnosis is usually made by echocardiography. We present a case of 21-year-old male who presented to us with palpitations for 2 days and one episode of syncope and was diagnosed with monomorphic ventricular tachycardia (VT) and he was managed with electrical cardioversion during one of the episodes. Echocardiogram and CMR showed a larger right ventricular pseudoaneurysm at apex. Surgical excision was done uneventfully. The patient had no further VT episodes post-surgery. This case highlights the approach to diagnosis and management of RV pseudoaneurysm.
右心室（RV）假性动脉瘤非常罕见，可见于穿透性胸部创伤、心脏手术后、感染性心内膜炎、心肌梗死、梅毒、心内膜心肌活检、导联提取后。特发性右心室假性动脉瘤甚至更为罕见。它们的表现因病因而异。诊断通常通过超声心动图进行。我们报告了一例 21 岁男性，因心悸 2 天，晕厥 1 次就诊，诊断为单形性室性心动过速（VT），并在其中一次发作时进行电复律治疗。超声心动图和 CMR 显示心尖部有一个较大的右心室假性动脉瘤。手术切除顺利。术后患者无进一步 VT 发作。该病例强调了 RV 假性动脉瘤的诊断和治疗方法。
