Spontaneous closure of a large left ventricular pseudoaneurysm

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Left ventricular pseudoaneurysm (n=1). Intervention: Standard medical treatment. Primary outcome: Clinical status at follow-up.

Q: What does this research mean for the field?

Large left ventricular pseudoaneurysms can undergo spontaneous thrombosis and closure, remaining stable over long-term medical management without surgical intervention. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Rajesh Vijayvergiya; Asif Hasan; Manphool Singhal

doi:10.1016/j.ihj.2015.12.009

January 11, 2016Indian Heart JournalOpen Access

Spontaneous closure of a large left ventricular pseudoaneurysm

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Key result

Medical management of a spontaneously thrombosed post-MI LV pseudoaneurysm maintains asymptomatic status at 5 years.

n=1

Key Points

To report a rare case of spontaneous thrombosis and complete closure of a large left ventricular pseudoaneurysm following anterior wall myocardial infarction.
Evaluated a 52-year-old male with NYHA class II dyspnea 3 years following an anterior wall myocardial infarction (N=1).
Performed diagnostic workup using electrocardiography, two-dimensional echocardiography, coronary angiography, left ventriculography, and computed tomography.
Computed tomography demonstrated an 89 mm × 33 mm multilayered, thrombosed, and calcified left ventricular pseudoaneurysm with no persistent communication with the ventricular cavity.
Left ventricular ejection fraction was preserved at 0.25 despite extensive wall akinesia, and the patient remained asymptomatic under standard medical management at 5-year follow-up.

Study Design

Type

Case Report (n=1)

Structured PICO

P

Population

A 52-year-old male with a history of anterior wall myocardial infarction presenting with dyspnea and found to have a spontaneously closed large left ventricular pseudoaneurysm, followed for 5 years.

I

Intervention

Standard medical treatment

A large left ventricular pseudoaneurysm can spontaneously thrombose and close, allowing for conservative management with standard medical therapy.

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Implication

May permit conservative management after spontaneous LV pseudoaneurysm thrombosis; leaves open generalizability beyond this case.

Abstract

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Discussion

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Cite This Study

Vijayvergiya et al. (2016) conducted a case report in Left ventricular pseudoaneurysm (n=1). Standard medical treatment was evaluated on Clinical status at follow-up. A 52-year-old man with a large, spontaneously thrombosed left ventricular pseudoaneurysm following a myocardial infarction was managed medically and remained asymptomatic at 5-year follow-up.

synapsesocial.com/papers/6aa91adc3c4f3f2f14b3f0a7 https://doi.org/10.1016/j.ihj.2015.12.009

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Spontaneous closure of a large left ventricular pseudoaneurysm

Key Points

Study Design

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Spontaneous closure of a large left ventricular pseudoaneurysm

Key Points

Study Design

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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