Anaesthesia Management of an Elderly Patient with a Rare “Left Ventricular Pseudo-Aneurysm” Posted for Non-Cardiac Surgery -Case Report


Authors : Dr. Anju Paul; Dr. Taseen Sida A.S; Dr. Chetankumar V. Adrat; Dr. Vaibhav Mohansing Solanke; Surekha Chavan; Dr. Pranjal Rajendra Pimparkar; Dr. Harshad Mangaldas Mahajan; Dr. Daniel Arun Saji

Volume/Issue : Volume 10 - 2025, Issue 4 - April

Google Scholar : https://tinyurl.com/3fku3b9f

Scribd : https://tinyurl.com/5n94yzh3

DOI : https://doi.org/10.38124/ijisrt/25apr2356

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Abstract : Patients with Left ventricular pseudoaneurysm posted for noncardiac surgery is rare. Anaesthesiologists should know the pathophysiology, complications and anaesthesia challenges in these patients to manage the case. Here, we managed an elderly patient with a left ventricular pseudoaneurysm posted for ileostomy closure. The primary goals are to maintain hemodynamic stability, avoid excessive stress on the myocardium, and prevent any further injury to the affected region of the heart.

References :

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  2. Brown SL, Gropler RJ, Harris KM. Distinguishing left ventricular aneurysm from pseudoaneurysm A review of the literature. Chest. 1997;111:1403–1409. doi: 10.1378/chest.111.5.1403
  3. Mishra, Priyanka et al. “Anesthetic management in a patient with apical ventricular pseudoaneurysm for a non-cardiac surgery.” Journal of anaesthesiology, clinical pharmacology vol. 38,2 (2022): 333-334. 
  4. Flam B, Albage A. Large inferolateral left ventricular aneurysm. Ann Card Anaesth. 2018;21:68–70. doi: 10.4103/aca.ACA_89_17
  5. Left ventricular aneurysm and pseudo aneurysm following acute myocardial infarction- uptodate ( Internet). Available from: http://www.uptodate.com/contents/left-ventricular-aneurysm-and-pseudoaneurysm-following-acute-myocardial-infarction
  6. Harrison’s Principal of Internal Medicine 21e
  7. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32:557–61. doi: 10.1016/s0735-1097(98)00290-3

Patients with Left ventricular pseudoaneurysm posted for noncardiac surgery is rare. Anaesthesiologists should know the pathophysiology, complications and anaesthesia challenges in these patients to manage the case. Here, we managed an elderly patient with a left ventricular pseudoaneurysm posted for ileostomy closure. The primary goals are to maintain hemodynamic stability, avoid excessive stress on the myocardium, and prevent any further injury to the affected region of the heart.

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