Anterior wall ventricular pseudoaneurysm presenting as dizziness and syncope

Am J Emerg Med. 2019 Jan;37(1):175.e3-175.e5. doi: 10.1016/j.ajem.2018.09.046. Epub 2018 Oct 1.

Abstract

Ventricular pseudoaneurysm rupture is a rare finding in emergency departments in the era of percutaneous coronary intervention. It is an infrequent complication after acute myocardial infarction. We present a case of ventricular pseudoaneurysm rupture and examine current literature on the pathophysiology and imaging guidelines on the topic. The patient is a 58-year-old male that presented to the emergency department with dizziness and syncope. Imaging in the emergency department included computed tomography of the chest and an ultrasound that showed pseudoaneurysm with hemopericardium and early cardiac tamponade. He was treated surgically. Ventricular pseudoaneurysm rupture is an uncommon finding in medicine and the emergency department. Point-of-care ultrasound is an important diagnostic modality to identify this critical complication and prompt surgical management.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / physiopathology
  • Aneurysm, False / surgery
  • Cardiac Tamponade / diagnostic imaging
  • Computed Tomography Angiography
  • Dizziness / etiology*
  • Emergency Service, Hospital
  • Heart Ventricles / diagnostic imaging*
  • Heart Ventricles / physiopathology
  • Heart Ventricles / surgery
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications
  • Pericardial Effusion / diagnostic imaging
  • Point-of-Care Testing
  • Rupture / complications
  • Rupture / diagnostic imaging
  • Rupture / surgery
  • Syncope / etiology*
  • Ultrasonography, Doppler