An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position

Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experie...

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Autores principales: Manasewitsch, Nicholas T, Antwi-Amoabeng, Daniel, Lu, Eric, Beutler, Bryce D, Rowan, Christopher J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478668/
https://www.ncbi.nlm.nih.gov/pubmed/32923295
http://dx.doi.org/10.7759/cureus.10245
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author Manasewitsch, Nicholas T
Antwi-Amoabeng, Daniel
Lu, Eric
Beutler, Bryce D
Rowan, Christopher J
author_facet Manasewitsch, Nicholas T
Antwi-Amoabeng, Daniel
Lu, Eric
Beutler, Bryce D
Rowan, Christopher J
author_sort Manasewitsch, Nicholas T
collection PubMed
description Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram. We report an unusual presentation of LV pseudoaneurysm and discuss a possible link between Trendelenburg position and the development of LV pseudoaneurysm.
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spelling pubmed-74786682020-09-11 An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position Manasewitsch, Nicholas T Antwi-Amoabeng, Daniel Lu, Eric Beutler, Bryce D Rowan, Christopher J Cureus Cardiology Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram. We report an unusual presentation of LV pseudoaneurysm and discuss a possible link between Trendelenburg position and the development of LV pseudoaneurysm. Cureus 2020-09-04 /pmc/articles/PMC7478668/ /pubmed/32923295 http://dx.doi.org/10.7759/cureus.10245 Text en Copyright © 2020, Manasewitsch et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Manasewitsch, Nicholas T
Antwi-Amoabeng, Daniel
Lu, Eric
Beutler, Bryce D
Rowan, Christopher J
An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title_full An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title_fullStr An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title_full_unstemmed An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title_short An Unpleasant Surprise: Left Ventricular Pseudoaneurysm Developing After Placement in Trendelenburg Position
title_sort unpleasant surprise: left ventricular pseudoaneurysm developing after placement in trendelenburg position
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478668/
https://www.ncbi.nlm.nih.gov/pubmed/32923295
http://dx.doi.org/10.7759/cureus.10245
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