PMC7640614_01
(A) Preprocedure echocardiography showing ventricular apical pseudoaneurysm; (B) postprocedure echocardiography after surgical resection of pseudoaneurysm; and (C) preprocedure cardiac magnetic resonance imaging (MRI) scan showing left ventricular (LV) apical aneurysm.
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Echocardiography showed a normal sized left ventricle, with mild systolic dysfunction (ejection fraction 45-50%) (Fig. 1A) and an apical aneurysm. Postoperative echocardiography showed normal LV size, cavity, and function (Fig. 1B).
(A-C) Images of normal coronary angiogram and (D) left ventriculogram showing neck and aneurysmal sack.
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Coronary angiography was normal (Fig. 2A-2D).
Ventricular aneurysmectomy and repair: (A) median sternotomy and vertical pericardiectomy; (B) calcified left ventricular (LV) apical aneurysm; (C) standard cardiopulmonary bypass; (D, E) circular patch repair of apical ventriculectomy; and (F) surgical specimen of the aneurysm.
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To differentiate between a true aneurysm and a pseudoaneurysm, cardiac MRI (Fig. 3) was performed. There was a narrow neck and hard shell around the aneurysmal cavity (Fig. 3A-E). The pathological specimen of the aneurysm is shown in Fig. 3F.