Images in cardiology
Asymptomatic large unruptured left ventricular pseudoaneurysm
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| The first 150 words of the full text of this article appear below. |
A 64-year-old man, who had coronary artery bypass graft surgery for severe triple vessel disease in 1995, presented with an anterior wall non-ST elevation myocardial infarction in 2007. His echocardiogram showed apical akinesia and good left ventricular systolic function. The patient underwent coronary angiography, which showed a blocked saphenous vein graft to the distal left anterior descending coronary artery. The patient was treated medically, discharged and was doing well.
During routine follow-up echocardiography, he was found to have a large apical aneurysm communicating with the left ventricle through a narrow neck and good left ventricular systolic function (panels A and B). To characterise the aneurysm the patient then underwent computed tomographic angiography which showed a blocked saphenous vein graft to the distal left anterior descending coronary artery and a 9 mm anterior apical defect communicating through a narrow neck with a large pseudo-aneurysm measuring 6.4 cmx4.3 cm, extending
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