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Year : 2017  |  Volume : 14  |  Issue : 1  |  Page : 42-46

Left ventricular pseudoaneurysm: A rare but fatal condition

1 Department of Medicine, University of Ilorin, Ilorin, Kwara State, Nigeria
2 Department of Surgery, University of Ilorin, Ilorin, Kwara State, Nigeria
3 Department of Medicine, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria

Correspondence Address:
James Ayodele Ogunmodede
Department of Medicine, University of Ilorin, PMB 1515, Ilorin, Kwara State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-7969.201906

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Left ventricular (LV) pseudoaneurysm (PA) is rarely seen and it is the result of free-wall myocardial rupture contained by overlying adherent pericardium, fibrous tissue without myocardial tissue. When it occurs, it is usually associated with myocardial infarction and is potentially prone to complications such as thromboembolic phenomenon and rupture with resultant cardiac tamponade. LV pseudoaneurysm is potentially fatal, and early detection with prompt treatment is important to prevent mortality. It is sometimes difficult to differentiate LV pseudoaneurysm from true aneurysm. It is, therefore, very important to use a combination of imaging modalities to evaluate the affected patients to confirm the diagnosis. We report the case of a fatal LV PA in a middle-aged man who had no history suggestive of prior myocardial infarction, diagnosed on two-dimensional Doppler echocardiography and contrast-enhanced computed tomography scan.

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