• Clinical Image
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  • Open Access
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  • ISSN: 2639-4383

Cardiac Magnetic Resonance Imaging of Massive Left Ventricular Pseudoaneurysm

  • Nijat Aliyev*;
    • Medical University of Utah School of Medicine, Division of Cardiovascular Medicine, USA
  • Majd Ibrahim
    • Medical University of Utah School of Medicine, Division of Cardiovascular Medicine, USA
  • Corresponding Author(s): Nijat Aliyev

  • University of Utah School of Medicine, Division of Cardiovascular Medicine, Cardiovascular Center, 50 North Medical Drive, Salt Lake City, UT 84132, USA

  • nijat.aliyev@hsc.utah.edu

  • 801-585-7676, Fax: 801-581-7735;

  • Bovet P (2021).

  • This Article is distributed under the terms of Creative Commons Attribution 4.0 International License

Received : Jul 23, 2020
Accepted : Aug 21, 2020
Published Online : Aug 25, 2020
Journal : Annals of Cardiology and Vascular Medicine
Publisher : MedDocs Publishers LLC
Online edition : http://meddocsonline.org

Cite this article: Cite this article: Aliyev N, Ibrahim M. Cardiac Magnetic Resonance Imaging of Massive Left Ventricular Pseudoaneurysm. Ann Cardiol Vasc Med. 2020: 3(1); 1024.

Keywords: Magnetic Resonance Imaging (MRI); Imaging; Diagnostic Testing; Heart Failure; Myocardial Infarction.

Clinical image description

      A 64-year-old man with history of coronary artery disease, end-stage renal disease presented with progressive abdominal pain. Abdominal computed tomography revealed nephrolithiasis and hemopericardium. Notably, three years prior to this presentation he had inferior ST-elevation myocardial infarction with Percutaneous Coronary Intervention (PCI) to the right coronary artery. His post PCI course was complicated by Ventricular Septal Defect (VSD) for which he underwent pericardial patch repair. During the current admission, a cardiac magnetic resonance imaging was obtained (Figure 1, Figure 3). This revealed large rupture in the basal inferior and inferoseptal segments of the myocardium with massive pseudoaneurysm and small thrombus formation (Figure 2, Figure 4, Supplementary Video – MRI Cine 2-chamber view, Video – MRI Cine short axis view). Later on, he developed heart failure and eventually underwent simultaneous heart and kidney transplantation. During post-transplant follow-up at three months, he was doing well with no reported allograft rejection.

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