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CASE REPORT
One aneurysm and two pseudoaneurysms, same patient
  1. Daniela Carvalho1,
  2. Jorge Mimoso1,
  3. Ilídio de Jesus1 and
  4. José Fragata2,3
  1. 1 Cardiology, Centro Hospitalar e Universitário do Algarve, Faro, Portugal
  2. 2 Cardiothoracic Surgery - Hospital de Santa Marta, Centro Hospitalar de Lisboa Central EPE, Lisboa, Lisboa, Portugal
  3. 3 Cardiovascular & Lung, Universidade Nova de Lisboa, Lisboa, Lisboa, Portugal
  1. Correspondence to Dr Daniela Carvalho, danielacarvalhosilva{at}gmail.com

Abstract

Ventricular pseudoaneurysms are rare pathological entities that mainly arise in the context of myocardial infarction or post-cardiac surgery. The clinical presentation is usually non-specific, and at times patients are asymptomatic. Mortality is high even with timely surgical intervention.

The authors present a case of postoperative recurrence of a left ventricular pseudoaneurysm superimposed on an ischaemic true aneurysm.

  • cardiovascular medicine
  • ischaemic heart disease
  • radiology (diagnostics)
  • cardiothoracic surgery

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Footnotes

  • Contributors The authors and their contributions in the writing of the manuscript are listed below: DC: Internal of the Specific Training in Cardiology at the Hospital and University Center of the Algarve, responsible for writing the manuscript and bibliographic research JM: Cardiologist at the Cardiology Department of the Hospital and University Center of Algarve, Assistant Cardiologist of the patient whose case is portrayed. He had a fundamental role to obtain data from the clinical history and complementary tests; IdJ: Director of the Cardiology Department of the Hospital and University Center of the Algarve, played a fundamental role in the correction of some aspects of the manuscript and giving suggestions on the structure of the manuscript; JF: Director of the Cardiothoracic Surgery Service of Santa Marta Hospital and vice Dean of the Universidade Nova de Lisboa, was the principal surgeon in the surgical reintervention to repair the recurrence of left ventricular pseudoaneurysm, and was fundamental to provide details of the surgical procedure. All authors further contributed to the final review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.