CTICasesLeft ventricular apical perforation post-cardiac catheterization
Imaging findings
CT angiogram shows active contrast extravasation directly from the left ventricular apex into the pericardial space, associated with a large hemopericardium, following a left heart catheterization.
Key takeaways
LV apical perforation can occur during cardiac catheterization (e.g., during ventriculography). It leads to rapid hemopericardium and tamponade, requiring urgent drainage or repair.
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