Key result
Surgical repair successfully treats a giant LV pseudoaneurysm 19 months after blunt trauma-induced RV perforation.
Why the study?
Left ventricular pseudoaneurysms lack specific clinical findings, carry a 30% to 45% risk of rupture, and rarely occur after blunt chest trauma.
Case Report (n=1)
No
This case highlights the necessity of long-term surveillance with advanced imaging modalities like CT or MRI after blunt cardiac trauma to detect late, potentially life-threatening complications such as left ventricular pseudoaneurysms.
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May warrant prolonged imaging surveillance after blunt cardiac trauma; leaves open standardized protocols.
Left ventricular pseudoaneurysm is a rare acquired cardiac abnormality that frequently occurs after myocardial infarction or a previous cardiac procedure. Blunt chest trauma accounts for this uncommon entity in sporadic cases. However, this disease does not have any specific clinical findings, so it is necessary to monitor the suspected patient closely. The standard noninvasive techniques for diagnosing left ventricular pseudoaneurysms are transthoracic echocardiography and thoracic computed tomography. Untreated ventricular pseudoaneurysms carry a considerable risk of rupture, ranging from 30% to 45%. So, an urgent surgical treatment is often required. Herein, we aimed to present a 34-year-old male who underwent emergency surgery as a result of cardiac perforation three hours after a traffic accident and developed a giant left ventricular pseudoaneurysm 19 months after discharge. The giant pseudoaneurysm was successfully repaired. This case highlights the need for long‑term surveillance after blunt cardiac trauma to detect late pseudoaneurysm formation.
Emin Can Ata (2026) conducted a case report in Left ventricular pseudoaneurysm after blunt chest trauma (n=1). Surgical repair with Dacron patch was evaluated on Patient survival and cardiac function. A 34-year-old male successfully underwent surgical repair of a giant left ventricular pseudoaneurysm that developed 19 months after initial right ventricular perforation repair following blunt chest trauma.
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