Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2015;68:147 - Vol. 68 Num.02 DOI: 10.1016/j.rec.2014.02.027

Left Ventricular Pseudo-pseudoaneurysm

Alberto García-Lledó a,, José Luis Moya Mur b, Javier García Segovia a

a Servicio de Cardiología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain
b Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, Spain

Article

Left ventricular pseudo-pseudoaneurysm is a rare type of subepicardial aneurysm. It consists of an intramyocardial dissecting hematoma communicating with the ventricular cavity through a thin neck. Very few cases have been reported, most of them after a myocardial infarction.

The figures show 3 multislice computed tomography scan views of a septal pseudo-pseudoaneurysm. It appears as an intramyocardial dissecting chamber with the subepicardial myocardium clearly visible. An arrow marks the neck. Figure 1 shows a horizontal section and Figure 2, Figure 3 show long and short axis views, respectively, of the left ventricle, generated by multiplanar reconstruction. Images were obtained from a 72-year-old male patient who experienced an anteroseptal myocardial infarction 16 years ago. The patient was asymptomatic. The pseudo-pseudoaneurysm was previously known and has not changed in size during the last 7 years.

Figure 1.

Figure 2.

Figure 3.

Corresponding author: alberto.garcia-lledo@uah.es

1885-5857/© 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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