JACC Case Rep. 2025 Nov 12:106034. doi: 10.1016/j.jaccas.2025.106034. Online ahead of print.
ABSTRACT
BACKGROUND: Left ventricular (LV) pseudoaneurysm is a rare but life-threatening condition, affecting approximately 0.2% of patients after myocardial infarction.
CASE SUMMARY: We presented the case of a 57-year-old man with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending coronary artery who presented with chest discomfort and dyspnea and ultimately received a diagnosis of an LV pseudoaneurysm.
DISCUSSION: This case not only highlights the rarity of co-occurring SCAD and LV pseudoaneurysm but also reveals detailed coronary angiographic, cardiac magnetic resonance imaging, and coronary computed tomography angiographic findings of a calcified LV pseudoaneurysm and the critical role of multimodality imaging in such complex conditions.
TAKE-HOME MESSAGES: LV pseudoaneurysm is a rare complication of SCAD. Multimodality imaging is critical in such complex cases as it can prevent missed diagnoses when single imaging modalities are inconclusive.
PMID:41222543 | DOI:10.1016/j.jaccas.2025.106034