Cardiovasc Imaging Asia.  2019 Apr;3(2):56-59. 10.22468/cvia.2019.00010.

Polycythemia Vera Presenting as Left Ventricular Pseudoaneurysm: The Role of Multimodality Imaging

• Mansour MJ
• Haddoul A
• Ohanian A
• El Haj Sleiman A
• Osman R
• Adhami A

• KMID: 2465774
• DOI: http://doi.org/10.22468/cvia.2019.00010

Abstract

The association of left ventricular pseudoaneurysm (LVPA) formation to polycythemia vera (PV) is unknown and, to our knowledge, has never been reported. We describe the case of a 58-year-old man with PV who was admitted for acute dyspnea following an inferior myocardial infarction that occurred seven weeks prior to presentation. Multimodality imaging disclosed the presence of an LVPA. The patient refused surgical treatment and was readmitted three months later with acute decompensation. Follow-up imaging revealed increased LVPA. Review of the literature however showed no report of PV presenting as an LVPA that worsened in a follow-up admission. This rare association prompted a definitive diagnosis. In this case, multimodality imaging was crucial to establishing a definitive diagnosis and guiding therapy.

Keyword

Polycythemia vera; Pseudoaneurysm; Myocardial infarction; Echocardiography; Computed tomography, x-ray; Coronary angiography

MeSH Terms

Aneurysm, False*
Coronary Angiography
Diagnosis
Dyspnea
Echocardiography
Follow-Up Studies
Humans
Inferior Wall Myocardial Infarction
Middle Aged
Myocardial Infarction
Polycythemia Vera*
Polycythemia*
Tomography, X-Ray Computed