Left ventricular pseudoaneurysm: Difference between revisions
(Text replacement - "Hx " to "History ") |
(Text replacement - "SOB" to "shortness of breath") |
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*Can be asymptomatic | *Can be asymptomatic | ||
*History of [[MI]] | *History of [[MI]] | ||
*Angina, [[ | *Angina, [[shortness of breath]]/DOE | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 19:38, 15 July 2016
Background
- LV Pseudoaneurysm = acute MI causes ventricular free wall rupture that is contained by pericardial adhesions
- Only small ones compatible with life
Causes
- Transmural MI (anterior most common)
Clinical Features
- Can be asymptomatic
- History of MI
- Angina, shortness of breath/DOE
Differential Diagnosis
Diagnosis
- LV angiography (TTE unreliable)
Management
- Surgical repair = 10% 5 yr mortality
- Medical therapy = 50% 5 yr mortality
Complications
- Angina (increased O2 demand)
- Complete LV rupture