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Left Ventricular Pseudoaneurysm Causing Superior Vena Caval Obstruction and Effusive-Constrictive Pericarditis

Division of Cardiology, Department of Medicine, Mount Sinai Hospital, and Division of Cardiothoracic Surgery, New York Hospital-Cornell Medical Center, New York, New York

Correspondence: For reprints contact: Evan Sehgal, MD, Div. of Cardiology, Mount Sinai Medical Center, One Gustave Levy Place, New York, NY 10029.

ABSTRACT

A diabetic woman with a silent myocardial infarction on clinical and electrocardiographic criteria presented with findings on physical examination of superior vena caval obstruction and effusive-constrictive pericarditis. A left ventricular posterior wall pseudoaneurysm and intrapericardial hematoma were found, with extrinsic compression of the right atrium. The diagnosis was first suspected by radionuclide imaging and confirmed by contrast angiography and surgery.