North Texas Research Forum 2025

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Division

North Texas

Hospital

Medical City Fort Worth

Specialty

Cardiology

Document Type

Poster

Publication Date

2025

Keywords

left ventricular pseudoaneurysm, LVPA, myocardial rupture, fistula

Disciplines

Cardiology | Cardiovascular Diseases | Medicine and Health Sciences

Abstract

We present a rare case of left ventricular pseudoaneurysm (LVPA) resulting from a prior cavity that persisted after surgical treatment of empyema via video-assisted thoracoscopic surgery (VATS) that ultimately lead to chronic inflammation of pericardium, resulting in obtuse marginal artery occlusion causing pseudoaneurysm. Computed tomography angiography (CTA) of the chest suggested that this cavity may have intermittently formed a fistula with the left ventricle, contributing to blood loss and progressive pseudoaneurysm formation. The case highlights the complex interplay between thoracic structures and cardiac pathology in the development of LVPA, with diagnostic and therapeutic challenges addressed.

Original Publisher

HCA Healthcare Graduate Medical Education

When the Chest and Heart Connect: A Rare Case Presentation of Left Ventricular Pseudoaneurysm

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