Work

Left Ventricular Pseudoaneurysm Linked to Prior Spontaneous Coronary Artery Dissection

Year: 2025

Type: article

Abstract: BACKGROUND: Left ventricular (LV) pseudoaneurysm is a rare but life-threatening condition, affecting approximately 0.2% of patients after myocardial infarction. CASE SUMMARY: We presented the case of a 57-year-old man with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending coronary artery who presented with chest discomfort and dyspnea and ultimately received a diagnosis of an LV pseudoaneurysm. DISCUSSION: This case not only highlights the rarity of co-occurring SCAD and LV pseudoaneurysm but also reveals detailed coronary angiographic, cardiac magnetic resonance imaging, and coronary computed tomography angiographic findings of a calcified LV pseudoaneurysm and the critical role of multimodality imaging in such complex conditions. TAKE-HOME MESSAGES: LV pseudoaneurysm is a rare complication of SCAD. Multimodality imaging is critical in such complex cases as it can prevent missed diagnoses when single imaging modalities are inconclusive.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106034

Authors: Maryam Mehrpooya, Sahar Behnam Roudsari, Negar Omidi, Mohammadreza Babaei

Institutions: Imam Khomeini Hospital, Tehran University of Medical Sciences, Cardiovascular Diseases Research Institute, Shaheed Rajaei Cardiovascular Medical and Research Center

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850