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KMID : 1149520190030020056
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Cardiovasclar Imaging Asia
2019 Volume.3 No. 2 p.56 ~ p.59
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Polycythemia Vera Presenting as Left Ventricular Pseudoaneurysm: The Role of Multimodality Imaging
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Mansour Mohamad Jihad
Haddoul Ahmad
Ohanian Antranik
Sleiman Ahmad El Haj
Osman Raed
Adhami Atika
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Abstract
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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.
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KEYWORD
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Polycythemia vera, Pseudoaneurysm, Myocardial infarction, Echocardiography, Computed tomography, x-ray, Coronary angiography
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