TRAUMATIC PSEUDOANEURYSM OF THE LEFT VENTRICLE

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Abstract
Three cases of pseudoaneurysm of the left ventricle are presented. The location of the aneurysm, remote time of a stab wound, inadequate contrast on an [See figure in the pdf file] intravenous angiocardiogram, and an absence of a history of penetrating trauma all served to blunt awareness to the correct diagnosis in 2 cases. Left ventricular cineangiographic studies in all 3 cases showed a characteristic jet of contrast material through a narrow orifice that connected the pseudoaneurysm with the left ventricular cavity. Chest trauma, whether penetrating or blunt, may produce pseudoaneurysms of the left ventricle. All masses not clearly separated from the heart should be angiographically evaluated with contrast material injected directly into the suspected chamber.

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