CTICasesLeft ventricular apical pseudoaneurysm post-LVAD explant
Imaging findings
CT angiogram shows a massive, contained pseudoaneurysm arising from the left ventricular apex following the removal of an infected left ventricular assist device (LVAD).
Key takeaways
Apical myocardial infection post-LVAD explant can lead to localized wall necrosis and cardiac rupture. If the rupture is contained by the pericardium and surrounding adhesions, it forms a large apical pseudoaneurysm.
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