Key result
Cine magnetic resonance imaging successfully diagnosed a left ventricular pseudoaneurysm that was not accurately defined by CT or echocardiography.
Why the study?
Does cine MRI improve the diagnosis of left ventricular pseudoaneurysm compared to CT and echocardiography in a patient with ischemic heart failure?
Case Report (n=1)
Does cine MRI improve the diagnosis of left ventricular pseudoaneurysm compared to CT and echocardiography in a patient with ischemic heart failure?
Cine MRI can be a valuable imaging modality for definitively diagnosing left ventricular pseudoaneurysms when other modalities like CT and echocardiography are inconclusive.
May support cine MRI when CT/echo inconclusive for LV pseudoaneurysm; leaves open need for prospective validation.
We report a case that illustrates the difficulty in diagnosing left ventricular (LV) pseudoaneurysm and the potential value of cine magnetic resonance imaging (MRI). A 69-year-old man with a history of ischemic congestive heart failure had a mass found on routine chest X-ray, contiguous with the cardiac silhouette. Neither CT nor echocardiography accurately defined the mass. The diagnosis of LV pseudoaneurysm was definitely made by cine MRI. Although the accuracy of various imaging modalities for detecting LV pseudoaneurysm is not known, cine MRI was the most useful test in this case. Despite refusing surgery to correct the pseudoaneurysm, the patient survived for nearly 4 years, treated only with anticoagulation.
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Frances et al. (1999) conducted a case report in Left ventricular pseudoaneurysm (n=1). Cine magnetic resonance imaging (MRI) vs. CT and echocardiography was evaluated on Diagnosis of left ventricular pseudoaneurysm. Cine magnetic resonance imaging successfully diagnosed a left ventricular pseudoaneurysm that was not accurately defined by CT or echocardiography.
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