Left Ventricular Pseudoaneurysm Linked to Prior Spontaneous Coronary Artery Dissection Publisher



Mehrpooya M ; Roudsari SB ; Omidi N ; Babaei M
Source: JACC: Case Reports Published:2025

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. © 2025 Elsevier B.V., All rights reserved.