학술논문

A Leaky False Pouch: Left Ventricle Pseudoaneurysm with Active Hemopericardium Detected on Cardiac Computed Tomography Angiography.
Document Type
Article
Source
Clinical Medicine Insights: Cardiology. 4/27/2024, p1-3. 3p.
Subject
*MYOCARDIAL infarction risk factors
*CARDIOVASCULAR disease prevention
*LEFT heart ventricle
*PERICARDIAL effusion
*RISK assessment
*BLOOD vessels
*COMPUTED tomography
*ABDOMINAL pain
*TREATMENT effectiveness
*FALSE aneurysms
*DISEASE complications
*DYSPNEA
*ST elevation myocardial infarction
*DRUG-eluting stents
*RIVAROXABAN
*ECHOCARDIOGRAPHY
Language
ISSN
1179-5468
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. [ABSTRACT FROM AUTHOR]