Key result
Multimodality imaging guides LV pseudoaneurysm diagnosis and management in a 3-patient series.
Why the study?
LV pseudoaneurysms carry a rupture risk of 30%–45% and a 1-week mortality of 48% in medically managed patients, making prompt diagnosis, accurate differentiation from true aneurysms, and multimodality imaging critical for surgical and conservative management planning.
Case Report (n=3)
Yes
This case series illustrates that integrating echocardiography, CT, and cardiac MRI is essential for accurately diagnosing left ventricular pseudoaneurysms, identifying systemic embolic complications, differentiating them from true aneurysms, and guiding timely surgical versus conservative management.
Answers are grounded in this paper and cite their sources.
Multimodality imaging may guide LV pseudoaneurysm management in select cases; leaves open need for larger prospective validation.
Left ventricular (LV) pseudoaneurysm is an uncommon, life-threatening sequela of myocardial injury, defined by contained rupture of the ventricular free wall by pericardium or scar tissue rather than intact myocardium. Unlike true aneurysms, pseudoaneurysms carry a rupture risk of 30%–45% and a 1-week mortality of 48% in medically managed patients, making prompt diagnosis and accurate differentiation critical for patient survival. Multimodality imaging – chest radiography, echocardiography, CT and cardiac MRI (CMR) – is indispensable in assessing morphology, haemodynamic impact, tissue characterisation, thrombus burden and systemic complications. Cardiac MRI serves as the reference standard for differentiating pseudoaneurysm from true aneurysm and for risk stratification. Contribution: This case series highlights the pivotal role of imaging in the surgical and conservative management planning of LV pseudoaneurysm.
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Rahman et al. (2026) conducted a case report in Left ventricular pseudoaneurysm (n=3). Multimodality imaging (chest radiography, echocardiography, CT, and cardiac MRI) was evaluated on Diagnosis, risk stratification, and clinical outcomes following surgical or conservative management.
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