Computed tomography of a broken heart: chronic left ventricular pseudoaneurysm.

J Cardiovasc Comput Tomogr

Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, United Kingdom.

Published: March 2009

AI Article Synopsis

  • The case involves a 77-year-old man with a history of heart surgery who developed a large left ventricular pseudoaneurysm (LVPA) and survived for several years without surgery, which is uncommon.
  • Multislice cardiac CT imaging was used to accurately assess the anatomy of the LVPA, helping to understand its size and location.
  • The CT also enabled a noninvasive evaluation of the patency of bypass graft vessels, which is crucial for planning any potential surgical interventions in this high-risk patient.

Article Abstract

The multislice cardiac computed tomography (CT) images of a 77-year-old man with a history of coronary artery bypass grafting and subsequent large left ventricular pseudoaneurysm (LVPA) formation are presented. Survival, as in this case, for several years after pseudoaneurysm formation is unusual without operative intervention. The case highlights the utility of CT in this scenario in allowing accurate assessment of LVPA anatomy, as well as noninvasive assessment of graft vessel patentcy, both vital to surgical planning in such high-risk cases.

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Source
http://dx.doi.org/10.1016/j.jcct.2007.12.014DOI Listing

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