PMC5875142_01
Transthoracic echocardiogram short axis and modified 2-chamber view, presenting a giant left ventricular aneurysm/pseudoaneurysm with 67 mm x 89 mm of diameter, involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus (64 mm x 24 mm). LV = Left ventricle, PA = Pseudoaneurysm
JCE-28-67-g001.jpg
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F1
The patient repeated a new transthoracic echocardiogram, which showed severe left ventricular dysfunction and the presence of a giant left ventricular aneurysm/pseudoaneurysm (67 mm x 89 mm), involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus (64 mm x 24 mm) [Figure 1].
Cardiac magnetic resonance late gadolinium enhancement sequences of a sagittal short-axis view and axial 3-chamber view, showing a large aneurysmatic sac in the left ventricle inferior and inferolateral walls, with sharp discontinuity of the ventricular wall, that seems limited only by a rim of enhanced pericardium or thin scar tissue, suggesting the presence of pseudoaneurysm, associated with a large mural thrombus. LV = Left ventricle, PA = Pseudoaneurysm, TB = Thrombus
JCE-28-67-g002.jpg
PMC5875142_01_JCE-28-67-g002.jpg
F2
Additional characterization was done by cardiac magnetic resonance (CMR) [Figure 2], revealing a sharp discontinuity of the left ventricle wall thickness involving the inferior and inferolateral walls, forming a large akinetic aneurysmatic cavity filled with thrombus.