Mousa Aliaa K, Mendoza Andrew E, Chaudhary Ashock, Ikegami Hirohisa, Maganti Kameswari, Sengupta Partho P, Bokhari Sabahat, Hamirani Yasmin S
Division of Cardiovascular Disease and Hypertension, Rutgers University Robert Wood Johnson Medical School, New Brunswick, New Jersy, USA.
Department of Surgery, Rutgers University Robert Wood Johnson Medical School, New Brunswick, New Jersy, USA.
JACC Case Rep. 2025 May 7;30(9):103293. doi: 10.1016/j.jaccas.2025.103293. Epub 2025 Apr 9.
Left ventricular pseudoaneurysm (LVPA) typically results from incomplete rupture of the ventricular wall. Here we describe the case of a 79-year--old patient who presented with acute chest pain, was found to have acute anterior and inferior ST-segment elevation myocardial infarction, and was accidentally discovered to have a subacute LVPA creating compression effect on the right-sided cardiac chambers. A multidisciplinary team promptly decided to proceed with surgical repair. This case highlights the varied presentations of LVPA, which can easily be overlooked during the initial evaluation. The use of multimodality imaging played a crucial role in the timely diagnosis and management of this condition.
左心室假性动脉瘤（LVPA）通常是由心室壁不完全破裂引起的。在此，我们描述了一例79岁患者的病例，该患者出现急性胸痛，被诊断为急性前壁和下壁ST段抬高型心肌梗死，偶然发现患有亚急性LVPA，对右侧心腔产生压迫效应。一个多学科团队迅速决定进行手术修复。该病例突出了LVPA的多种表现形式，在初始评估期间很容易被忽视。多模态成像的应用在该疾病的及时诊断和管理中发挥了关键作用。
