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Title: With computed tomography confirmed anterolateral left ventricular pseudoaneurysm in patient with dilatative alcoholic cardiomyopathy Authors: ID Letonja, Mitja (Author) ID Šantl-Letonja, Marija (Author) Files: PDF - Presentation file, download (415,90 KB) MD5: A707AA0114312B254AFC2A2274E858CD   PDF - Presentation file, download (410,28 KB) MD5: 068D77F50A11BC43FAB9BB57EC53DCDB   Language: English Typology: 1.01 - Original Scientific Article Organization: OI - Institute of Oncology Abstract: Background. Pseudoaneurysms are rare complications of myocardial infarction with propensity for rupture. There is still a challenge with which diagnostic imaging we performed a final diagnosis of pseudoaneurysm and differentiate it from true aneurysm what is clinically important due to the different treatment. Case report. We presented the unusual case of a 56-year-old man with signs of decompensated heart failure which had worsened a few months before hospitalization. We believed that during worsening of symptoms the patient suffered a silent myocardial infarction complicated by subacute free wall rupture which resulted into left ventricular pseudoaneurysm formation without tamponade. Echocardiography showed dilatativecardiomyopathy which was already present years before and a very rare location of the left ventricular pseudoaneurysm on the anterolateral part of the left ventricle. Pseudoaneurysm was confirmed with CT scan. Due to the severity of contractile dysfunction and no response in treatment for congestive heart failure the directive for the resection was tempered and the patient died due to the progressive heart failure and embolic phenomena. Conclusions. This report shows the importance of non-invasive imaging diagnostic evaluation of acute decompensated heart failure where echocardiography and chest X-ray are the first diagnostic steps. Based on those findings further imaging diagnostic steps must be performed such as CT scan in our case which finally confirms left ventricular pseudoaneurysm with dilatative cardiomyopathy. Publication status: Published Publication version: Version of Record Publication date: 01.01.2011 Publisher: Association of Radiology and Oncology Year of publishing: 2011 Number of pages: str. 180-183 Numbering: Vol. 45, no. 3 Source: Ljubljana PID: 20.500.12556/DiRROS-18464  UDC: 616.12 ISSN on article: 1318-2099 DOI: 10.2478/v10019-011-0021-8  COBISS.SI-ID: 4029503  Copyright: by Authors Publication date in DiRROS: 19.03.2024 Views: 418 Downloads: 172 Metadata:    Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Title:	Radiology and oncology
Shortened title:	Radiol. oncol.
Publisher:	Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:	1318-2099
COBISS.SI-ID:	32649472

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