This Article Full Text Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Yucel, G. Articles by Kronzon, I. Search for Related Content PubMed PubMed Citation Articles by Yucel, G. Articles by Kronzon, I.

(Circulation. 1996;94:848.)
© 1996 American Heart Association, Inc.

Articles

Giant Left Ventricular Pseudoaneurysm

Genco Yucel, MD; Eric Steinberg, DO; Michael O'Reilly, MD; Itzhak Kronzon, MD

the Department of Medicine, Veterans Administration Medical Center, New York, NY, and Wilkes-Barre (PA) Veterans Administration Medical Center (M.O.).

Correspondence to Itzhak Kronzon, MD, 560 First Avenue, HW 228, New York, NY 10016.

	Introduction

 
Two and one half years after a lateral wall myocardial infarction, this 75-year-old patient was found to have marked cardiomegaly on chest radiograph. He had no cardiac symptoms. Chest CT with contrast (Fig 1) revealed a giant (23x13 cm) pseudoaneurysm (PAN), partially filled with clot (C), communicating with the left ventricle (LV). Echocardiography (apical view, Fig 2) further demonstrated the size of the hole (2.5 cm) in the LV lateral wall (arrow). Color Doppler (Fig 3) demonstrated systolic blood flow from the LV into the pseudoaneurysm (Fig 3A) and diastolic blood flow from the pseudoaneurysm into the LV in diastole (Fig 3B). RV indicates right ventricle; LA, left atrium; and RA, right atrium.

View larger version (100K): [in this window] [in a new window]   Figure 1.

View larger version (126K): [in this window] [in a new window]   Figure 2.

View larger version (341K): [in this window] [in a new window]   Figure 3.

	Footnotes

 
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine. Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.