Uncommon Cause of Left Ventricular Pseudoaneurysm: Case Report and Review of Literature

Abstract

We report a case of an 18-year-old man without tuberculosis history who presented with chest distress, dyspnea, and fever. Chest computed tomography scan and echocardiography showed left ventricular posterior wall pseudoaneurysm and perforation. Unfortunately, the patient died shortly after surgery. On the basis of surgical pathology, we made a final diagnosis of tuberculous pericarditis complicated with left ventricular pseudoaneurysm. This has not been reported before in the published literature.

Keywords

pseudoaneurysm - diagnosis - tuberculous pericarditis

• References

• 1 Burgess LJ, Reuter H, Taljaard JJF, Doubell AF. Role of biochemical tests in the diagnosis of large pericardial effusions. Chest 2002; 121 (2) 495-499
• 2 D'Silva SA, Nalladaru ZM, Dalvi BV, Kale PA, Tendolkar AG. MRI as guide to surgical approach in tuberculous pericardial abscess. Case report. Scand J Thorac Cardiovasc Surg 1992; 26 (3) 229-231
• 3 Dachman AH, Spindola-Franco H, Solomon N. Left ventricular pseudoaneurysm. Its recognition and significance. JAMA 1981; 246 (17) 1951-1953
• 4 Corda L, Vizzardi E, De Cicco G , et al. Left ventricular pseudoaneurysm and α1-antitrypsin enzyme deficiency: another pathological correlation. Int J Cardiol 2010; 145 (2) 384-386 DOI: 10.1016/j.ijcard.2010.02.055.
• 5 Lee PJ, Spencer KT. Pseudoaneurysm of the left ventricular free wall caused by tumor infiltration. J Am Soc Echocardiogr 1999; 12 (7) 604-606