Case Report
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Cardiol. Jun 26, 2012; 4(6): 218-220
Published online Jun 26, 2012. doi: 10.4330/wjc.v4.i6.218
Giant left ventricular pseudoaneurysm presenting with hemoptysis
Rajesh Vijayvergiya, Jay Pattam, Sandeep S Rana, Jiten D Singh, Goverdhan D Puri, Manphool Singhal
Rajesh Vijayvergiya, Jay Pattam, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Sandeep S Rana, Jiten D Singh, Department of Cardio-thoracic Surgery, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Goverdhan D Puri, Department of Anesthesia, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Manphool Singhal, Department of Radio-diagnosis, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Author contributions: All authors were actively involved in management of the index case.
Correspondence to: Dr. Rajesh Vijayvergiya, MD, DM, FSCAI, FACC, FISES, Associate Professor, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: April 13, 2012
Revised: June 6, 2012
Accepted: June 13, 2012
Published online: June 26, 2012
Abstract

Left ventricular (LV) pseudoaneurysm is a late mechanical complication of myocardial infarction (MI). A giant LV pseudoaneurysm is a rare presentation. We report a case of a giant LV pseudoaneurysm in a post MI patient, who presented with hemoptysis. Hemoptysis is a rare clinical presentation of LV pseudoaneurysm. The patient had successful surgical repair of the aneurysm and had a favorable outcome in 9 mo’ follow-up. The imaging modalities and surgical treatment of a pseudoaneurysm is discussed.

Keywords: Left ventricle pseudoaneurysm, Hemoptysis, Myocardial infarction, Surgical repair