Acute perimyocarditis complicated by giant wall pseudoaneurysm

Scritto il 26/08/2026
da Roberta D'Elia

G Ital Cardiol (Rome). 2026 Sep;27(9 Suppl. 1):9-12. doi: 10.1714/4756.47733.

ABSTRACT

We present the case of a patient with a giant pseudoaneurysm in the left ventricular anterolateral wall and hemorrhagic pericardial effusion extending to the aortic arch. The patient survived after emergency aneurysmectomy and closure with a bovine pericardial patch. The pseudoaneurysm was a late complication of perimyocarditis with atypical clinical manifestations (traumatic syncope in the absence of fever). This case report is interesting because it describes a rare but possible complication of perimyocarditis and underlines the importance of multimodality imaging in the differential diagnosis between aneurysm and pseudoaneurysm.

PMID:42643145 | DOI:10.1714/4756.47733