Journal of Cardiovascular Computed Tomography
Volume 2, Issue 2 , Pages 120-122, March 2008

Computed tomography of a broken heart: Chronic left ventricular pseudoaneurysm

  • Arash Yavari, BSc, MBBS, MRCP

      Affiliations

    • Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom
    • Corresponding Author InformationCorresponding author.
    • ,
  • Neshe Sriskandan, MBBS, MRCP

      Affiliations

    • Department of Radiology, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom
    • ,
  • M. Zeeshan Khawaja, MBBS, MRCP

      Affiliations

    • Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom
    • ,
  • David M. Walker, MA, MB, MD, FRCP

      Affiliations

    • Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom
    • ,
  • John A. Giles, FRCP, FRCR

      Affiliations

    • Department of Radiology, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom
    • ,
  • Eric T. McWilliams, MB, FRCP, FRCPI, FACC

      Affiliations

    • Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD, United Kingdom

Received 13 November 2007; accepted 28 December 2007. published online 15 January 2008.

Abstract 

The multislice cardiac computed tomography (CT) images of a 77-year-old man with a history of coronary artery bypass grafting and subsequent large left ventricular pseudoaneurysm (LVPA) formation are presented. Survival, as in this case, for several years after pseudoaneurysm formation is unusual without operative intervention. The case highlights the utility of CT in this scenario in allowing accurate assessment of LVPA anatomy, as well as noninvasive assessment of graft vessel patentcy, both vital to surgical planning in such high-risk cases.

Keywords: Chronic, Computed tomography, Coronary artery bypass, False aneurysm, Heart ventricles

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 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(08)00002-6

doi:10.1016/j.jcct.2007.12.014

Journal of Cardiovascular Computed Tomography
Volume 2, Issue 2 , Pages 120-122, March 2008

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