Multimodality Imaging Diagnosis of a Left Ventricular Pseudoaneurysm Causing Dynamic Coronary Compression
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ID: 313699
2026
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Abstract
Abstract This report describes a rare late complication of cardiac surgery presenting as exertional angina caused by dynamic extrinsic compression of the circumflex artery. Multimodality imaging, including coronary angiography, cardiac computed tomography, and transoesophageal echocardiography, identified a mass adjacent to the left ventricular outflow tract, consistent with a contained left ventricular rupture with pseudoaneurysm formation. Comprehensive imaging assessment was essential for diagnostic clarification, exclusion of infection, and therapeutic planning. In a high-risk elderly patient deemed unsuitable for surgery, percutaneous coronary intervention with drug-eluting stent implantation provided effective symptom relief, highlighting the value of tailored, image-guided management in complex structural complications.
| Reference Key |
openalex_W7161159589
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|---|---|
| Authors | Bernardo Resende, Tomás Carlos, João Rosa, Lino Gonçalves |
| Journal | European Heart Journal - Case Reports |
| Year | 2026 |
| DOI |
10.1093/ehjcr/ytag362
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| URL | |
| Keywords | Keywords not found |
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