Ventricular Rupture With Pseudoaneurysm Causing Compression Effect on the Right Ventricular Cavity

Aliaa K. Mousa; Andrew E. Mendoza; Ashock Chaudhary; Hirohisa Ikegami; Kameswari Maganti; Partho P. Sengupta; Sabahat Bokhari; Yasmin S. Hamirani

doi:10.1016/j.jaccas.2025.103293

Ventricular Rupture With Pseudoaneurysm Causing Compression Effect on the Right Ventricular Cavity

Aliaa K. Mousa, Andrew E. Mendoza, Ashock Chaudhary, Hirohisa Ikegami, Kameswari Maganti, Partho P. Sengupta, Sabahat Bokhari, Yasmin S. Hamirani

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Article number	103293
Journal	JACC: Case Reports
Volume	30
Issue number	9
DOIs	https://doi.org/10.1016/j.jaccas.2025.103293
State	Published - May 7 2025

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine

Keywords

computed tomography
echocardiography
myocardial infarction

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10.1016/j.jaccas.2025.103293

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title = "Ventricular Rupture With Pseudoaneurysm Causing Compression Effect on the Right Ventricular Cavity",

abstract = "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.",

keywords = "computed tomography, echocardiography, myocardial infarction",

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doi = "10.1016/j.jaccas.2025.103293",

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AU - Mousa, Aliaa K.

AU - Mendoza, Andrew E.

AU - Chaudhary, Ashock

AU - Ikegami, Hirohisa

AU - Maganti, Kameswari

AU - Sengupta, Partho P.

AU - Bokhari, Sabahat

AU - Hamirani, Yasmin S.

PY - 2025/5/7

Y1 - 2025/5/7

N2 - 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.

AB - 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.

KW - computed tomography

KW - echocardiography

KW - myocardial infarction

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Ventricular Rupture With Pseudoaneurysm Causing Compression Effect on the Right Ventricular Cavity

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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