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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2018  |  Volume : 19  |  Issue : 4  |  Page : 156-157  

A silent large left ventricular apical pseudoaneurysm presenting as congestive heart failure


Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India

Date of Web Publication15-Apr-2019

Correspondence Address:
Dr. Gopal Chandra Ghosh
Room No 310, Hospital Annexe, Christian Medical College, CMC Hospital Campus, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_103_17

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How to cite this article:
Ghosh GC, Alex AG. A silent large left ventricular apical pseudoaneurysm presenting as congestive heart failure. Heart Views 2018;19:156-7

How to cite this URL:
Ghosh GC, Alex AG. A silent large left ventricular apical pseudoaneurysm presenting as congestive heart failure. Heart Views [serial online] 2018 [cited 2019 Jun 24];19:156-7. Available from: http://www.heartviews.org/text.asp?2018/19/4/156/256231



A40-year-old male smoker without any other discernible risk factors for coronary artery disease presented with complaints of progressively increasing shortness of breath and swelling of bilateral feet for the past 3 months. He did not have any history suggestive of acute coronary syndrome. Two-dimensional echocardiography revealed a large thick-walled cavity with a narrow base attached to the left ventricular apex suggestive of a pseudoaneurysm (PSA) [Figure 1] and [Figure 2]. The PSA cavity was layered with thrombus [Figure 3] and [Figure 4] [Figure 1] showed to-and-fro blood flow into it.
Figure 1: Apical four chamber view showing to-and-fro blood flow into the pseudoaneurysm cavity

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Figure 2: Modified parasternal long-axis view showing a large pseudoaneurysm with layered thrombus contained by pericardium

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Figure 3: Modified parasternal long-axis view showing thick-walled pseudoaneurysm cavity with layered thrombus

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Figure 4: Computed tomography scan coronal view showing large pseudoaneurysm at the apex of the left ventricle contained by layered thrombus and pericardium

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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