{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:11:35Z","timestamp":1787854295000,"version":"build-2784847793"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Left ventricular pseudoaneurysm is a recognized, however, uncommon presentation of acute myocardial infarction in the current era. This is due to early reperfusion therapy for acute myocardial infarction. Left ventricular pseudoaneurysm after myocardial infarction can present in a variety of ways, including heart failure, chest pain, and dyspnoea.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a case of a 61-year-old male who presented with extremely atypical symptoms of dysphagia and weight loss due to a massive left ventricular pseudoaneurysm. Transthoracic echocardiogram and computed tomography revealed a large pseudoaneurysm causing mass effect on multiple gastrointestinal organs. Organic causes for dysphagia and weight loss were ruled out by gastroscopy. Surgical management was carried out but was ultimately unsuccessful.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Despite the heterogeneity in presentation for patients with left ventricular pseudoaneurysm, rapid diagnosis is important for management and prognosis. Diagnostic tools include transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging. Management is usually surgical; however, there is some debate in the literature regarding conservative vs. surgical management for chronic pseudoaneurysms. More data are needed to determine optimal management strategies and prognosis for patients with left ventricular pseudoaneurysms.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac495","type":"journal-article","created":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T02:21:31Z","timestamp":1672712491000},"source":"Crossref","is-referenced-by-count":2,"title":["Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-7050","authenticated-orcid":false,"given":"Ashar","family":"Pirzada","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Dalhousie University , 1796 Summer St, Room 2132, Halifax Infirmary, Halifax, NS B3H 3A7 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Styles","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Dalhousie University , 1796 Summer St, Room 2132, Halifax Infirmary, Halifax, NS B3H 3A7 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robbie","family":"Stewart","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Dalhousie University , 1796 Summer St, Room 2132, Halifax Infirmary, Halifax, NS B3H 3A7 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"key":"2023012703314514200_ytac495-B1","first-page":"68","article-title":"Postinfarction left ventricular pseudoaneurysm","volume":"113","author":"Sta\u0144czak","year":"2005","journal-title":"Pol Arch Med Wewn"},{"key":"2023012703314514200_ytac495-B2","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0735-1097(98)00290-3","article-title":"Left ventricular pseudoaneurysm","volume":"32","author":"Frances","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"2023012703314514200_ytac495-B3","doi-asserted-by":"crossref","first-page":"2783","DOI":"10.1161\/CIRCULATIONAHA.108.776690","article-title":"Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period","volume":"118","author":"Figueras","year":"2008","journal-title":"Circulation"},{"key":"2023012703314514200_ytac495-B4","doi-asserted-by":"crossref","first-page":"e231680","DOI":"10.1136\/bcr-2019-231680","article-title":"Unusual presentation of left ventricular rupture","volume":"13","author":"Bhullar","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2023012703314514200_ytac495-B5","doi-asserted-by":"crossref","first-page":"299","DOI":"10.7326\/0003-4819-128-4-199802150-00010","article-title":"Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm","volume":"128","author":"Yeo","year":"1998","journal-title":"Ann Intern Med"},{"key":"2023012703314514200_ytac495-B6","first-page":"388","article-title":"Massive false aneurysm of the left ventricle with dysphagia","volume":"109","author":"McIlmoyle","year":"1973","journal-title":"Can Med Assoc J"},{"key":"2023012703314514200_ytac495-B7","doi-asserted-by":"publisher","DOI":"10.1177\/2324709618792025","article-title":"Left ventricular pseudoaneurysm: an overview of diagnosis and management","volume":"6","author":"Inayat","year":"2018","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2023012703314514200_ytac495-B8","doi-asserted-by":"crossref","first-page":"90","DOI":"10.12998\/wjcc.v2.i4.90","article-title":"Left ventricular pseudoaneurysm: a case report and review of the literature","volume":"2","author":"Alapati","year":"2014","journal-title":"World J Clin Cases"},{"key":"2023012703314514200_ytac495-B9","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1259\/bjr\/25590962","article-title":"Left ventricular true and false aneurysms identified by cardiovascular magnetic resonance","volume":"84","author":"Gill","year":"2011","journal-title":"Br J Radiol"},{"key":"2023012703314514200_ytac495-B10","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1136\/heart.89.10.1144","article-title":"Long term outcome of patients with postinfarction left ventricular pseudoaneurysm","volume":"89","author":"Moreno","year":"2003","journal-title":"Heart"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac495\/48479199\/ytac495.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/1\/ytac495\/48911125\/ytac495.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/7\/1\/ytac495\/48911125\/ytac495.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T03:43:49Z","timestamp":1674791029000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac495\/6967148"}},"subtitle":[],"editor":[{"given":"Luke Joseph","family":"Laffin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Vincenzo","family":"Nuzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Deborah","family":"Cosmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Franca","family":"Moselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Rafaella","family":"Siang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,12,27]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12,27]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac495","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,1,1]]},"published":{"date-parts":[[2022,12,27]]},"article-number":"ytac495"}}