Emergent surgery can successfully treat a left ventricular pseudoaneurysm causing left atrial compression and presenting as a transient ischemic attack.
Supports emergent surgery consideration in LV pseudoaneurysm with LA compression; single case leaves optimal strategy open.
We describe a case of left ventricular pseudoaneurysm with subepicardial dissection onto the left atrial wall, mimicking a smooth left atrial mass, causing partial obliteration of the left atrial cavity. This patient presented with a transient ischemic attack, most likely resulting from a thromboembolic episode to the brain. Emergent surgery was successfully performed and the patient is doing well at 1-year follow-up, with no signs of left atrial compression by transthoracic echocardiography.
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Nathaniel et al. (1996) studied this question.
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