Left ventricular pseudoaneurysm: An unexpected finding

Figures

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  Fig. 1. LV PSA on echocardiography. Echocardiography apical 2-chamber views 2D mode (A) and color flow Doppler (B) shows an apical pseudoaneurysm (yellow arrows) with color flow present (blue arrow). There is moderate to severe left ventricle hypertrophy with normal ventricular size.

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  Fig. 2. Pericardial fluid on echocardiography. Apical 2-chamber view (A) shows a small amount of pericardial fluid (pink stars). Subcostal view (B) shows the pericardial effusion exerting compression over the right ventricle.

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  Fig. 3. LV PSA on cardiac MR. Long-axis 2-chamber SSFP (A) shows an apical left ventricular pseudoaneurysm arising from the inferior aspect of the left ventricular apex (yellow arrows). The neck of the pseudoaneurysm (blue arrows) measured approximately 7 mm. The pseudoaneurysm sac measured approximately 2.5 × 4.8 cm. There is moderate pericardial effusion (pink star).

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  Fig. 4. Left ventricular myocardial hypertrophy and pericardial effusion. Cardiac MR short-axis (A) and long-axis 4-chamber SSFP (B) show moderate left ventricle hypertrophy (blue line). There is moderate pericardial effusion (pink star) exerting mass effect upon the free wall of the right ventricle.

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  Fig. 5. Late gadolinium enhancement. Cardiac MR late gadolinium-enhanced long-axis 4-chamber (A), and short-axis views (B, C) demonstrate myocardial thinning and late gadolinium enhancement of the basal to the mid inferoseptal wall of the left ventricle.