A Leaky False Pouch: Left Ventricle Pseudoaneurysm with Active Hemopericardium Detected on Cardiac Computed Tomography Angiography.

IF 2.3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Medicine Insights. Cardiology Pub Date : 2024-04-27 eCollection Date: 2024-01-01 DOI:10.1177/11795468241249059
Shiva Barforoshi, Chandana Shekar, Zoe Yu, Eugene Liu, Venkat Manubolu, Matthew J Budoff, Sion K Roy
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Abstract

Pseudoaneurysm is a rare but fatal complication of myocardial infarction (MI). With the advances in cardiovascular disease detection and treatments, fatal structural complications post-MI are now rare. When they occur, advanced diagnostic modalities can be used for early diagnosis, aiding surgical planning, and improving prognosis. In our case, post-MI left ventricle pseudoaneurysm complicated by hemopericardium was diagnosed using cardiac computed tomography angiography (CCTA). Use of attenuation measurement on CCTA helped diagnose active extravasation into the hemopericardium. This case highlights the high index of suspicion needed for rare but fatal complications post-MI and the utility of CCTA in their management.

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一个漏气的假囊:心脏计算机断层扫描血管造影发现左心室假性动脉瘤伴活动性心包积血。
假性动脉瘤是心肌梗死(MI)的一种罕见但致命的并发症。随着心血管疾病检测和治疗技术的进步,心肌梗死后致命的结构性并发症现在已经很少见了。一旦发生,先进的诊断方法可用于早期诊断,帮助制定手术计划并改善预后。在我们的病例中,心脏计算机断层扫描血管造影术(CCTA)诊断出了心肌梗死后左心室假性动脉瘤并发血心包。CCTA 的衰减测量有助于诊断血心包的活动性外渗。该病例强调了对心肌梗死后罕见但致命的并发症需要高度怀疑,以及 CCTA 在治疗中的作用。
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来源期刊
Clinical Medicine Insights. Cardiology
Clinical Medicine Insights. Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.20
自引率
3.30%
发文量
16
审稿时长
8 weeks
期刊最新文献
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