Decade in hiding: chronic giant pseudoaneurysm after a coronary artery bypass grafting mimicking a double-chambered left ventricle.
Dikshant Goyal, Gurrajan Nikhanj, Suraj Kumar et al.
✦ AI-curated · Sources linked
Case in brief
A woman in her early 60s, with a history of coronary artery bypass grafting a decade prior, was found to have a cardiac opacity. Echocardiography revealed a large left ventricular outpouching with severe dysfunction, and CT imaging identified a giant calcified pseudoaneurysm. Despite surgical recommendations, the patient opted for conservative management and remained stable at 12 months.
What made this case unusual
The pseudoaneurysm presented with a morphology that mimicked a double-chambered left ventricle, complicating the diagnosis.
Diagnostic / clinical pearl
Multimodality imaging is crucial in evaluating complex cardiac structures, especially in patients with a history of cardiac surgery.
Why it matters
This case underscores the importance of individualized management strategies for patients with chronic cardiac complications.