CC-BY-NC-ND 4.0 · J Card Crit Care 2017; 01(01): 040-044
DOI: 10.1055/s-0037-1604329
Case Report
Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU)

Left Ventricular Contained Rupture: True or Pseudoaneurysm?

Monish S. Raut
1  Department of Cardiac Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India
,
Arun Maheshwari
1  Department of Cardiac Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India
,
Sumir Dubey
2  Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
,
Ganesh Shivnani
2  Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
,
Arun Mohanty
3  Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, India
,
Aman Makhija
3  Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, India
› Author Affiliations
Further Information

Publication History

Publication Date:
29 September 2017 (online)

Abstract

Acute myocardial infarction leading to left ventricular wall rupture is a very lethal complication with the risk of sudden cardiac death. Such contained rupture presents as aneurysmal dilatation of ventricular wall on echocardiography. A false aneurysm is bound by the pericardium without any myocardial tissue and true aneurysm is a bulging of scarred myocardium. Pseudoaneurysm with contained rupture sealed by pericardium needs early surgical intervention. Here, the authors present similar case mimicking as pseudoaneurysm on echocardiography, but it was found out to be true aneurysm as surgical finding.