Nonsurgical management of traumatic cardiac pseudoaneurysms

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Nonsurgical management of traumatic cardiac pseudoaneurysms Rashid M. Ahmad, MD, Ramanan Umakanthan, MD, Mark Lawson, MD, Marzia Leacche, MD, Nataliya V. Solenkova, MD, John G. Byrne, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 4, Pages e83-e85 (April 2010) DOI: 10.1016/j.jtcvs.2008.12.055 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Axial (A, B) and oblique sagittal (C, D) views of the heart on cardiac MRI, showing the location and extent of the right ventricular pseudoaneurysm (arrows) during diastole (A, C) and systole (B, D). Note the marked thinning and akinesis of the anterior free wall of the infundibulum. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e83-e85DOI: (10.1016/j.jtcvs.2008.12.055) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Sagittal 3-dimensional reconstructed views of the heart and great vessels on cardiac magnetic resonance angiography performed during hospital admission (A) and 8 months after injury (B). The pseudoaneurysm is shown by the white arrow. Axial dark blood cardiac MRI views of the heart performed during hospital admission (C) and 8 months after the injury (D). Slow flow is demonstrated in the pseudoaneurysm (black arrow) on the initial study. Note the decrease in pseudoaneurysm size on the 8-month follow-up study. Ao, Aorta; RV, right ventricle; RVOT, right ventricular outflow tract; LA, left atrium; MPA, main pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e83-e85DOI: (10.1016/j.jtcvs.2008.12.055) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions