Cardiac Pseudo-aneurysm with Resection and LVAD Placement

Chanel Fischetti, Marat Fudim, Kristin L Newby and Matthew T Roe

Department of Emergency Medicine, Duke University, USA
Department of Medicine and Cardiology, Duke University, USA

^*Correspondance to: Chanel Fischetti 

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Abstract:

We present the case of an unusual chest finding and unique cardiac intervention for a high-risk heart failure patient. The patient presented in cardiogenic shock, and after initial stabilization, it was discovered that the patient had been living with a cardiac pseudo-aneurysm complicated by thrombus formation. This was demonstrated by his enlarged cardiac silhouette and progressively worsening symptoms of heart failure. Because the patient was not deemed eligible for cardiac transplant, the option was offered for Left Ventricular Assist Device (LVAD) placement with surgical resection of his pseudo-aneurysmal thrombus. The patient had a complicated post-operative course but was eventually discharged home. We believe that not only was this case presentation unique in the patient’s findings, but also that his options for intervention were also innovative in the approach made with eventual resection of the pseudo-aneurysm with thrombus and placement of the LVAD.

Keywords:

Cardiac; LVAD; Pseudo-aneurysm

Cite the Article:

Fischetti C, Fudim M, Newby KL, Roe MT. Cardiac Pseudo-aneurysm with Resection and LVAD Placement. Clin Case Rep Int. 2018; 2: 1047.