Left ventricular pseudoaneurysm: Difference between revisions
m (Rossdonaldson1 moved page Left Ventricular Pseudoaneurysm to Left ventricular pseudoaneurysm) |
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== | ==Background== | ||
*LV Pseudoaneurysm = acute MI causes ventricular free wall rupture that is contained by pericardial adhesions | *LV Pseudoaneurysm = acute MI causes ventricular free wall rupture that is contained by pericardial adhesions | ||
**Only small ones compatible with life | **Only small ones compatible with life | ||
==Causes== | ===Causes=== | ||
*Transmural MI (anterior most common) | *Transmural MI (anterior most common) | ||
==Clinical Features== | |||
*Can be asymptomatic | |||
*Hx of [[MI]] | |||
*Angina, [[SOB]]/DOE | |||
==Differential Diagnosis== | |||
*[[Left Ventricular Aneurysm]] | |||
==Diagnosis== | ==Diagnosis== | ||
*LV angiography (TTE unreliable) | *LV angiography (TTE unreliable) | ||
==Treatment== | |||
*Surgical repair = 10% 5 yr mortality | |||
*Medical therapy = 50% 5 yr mortality | |||
==Complications== | ==Complications== | ||
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*Complete LV rupture | *Complete LV rupture | ||
== | ==See Also== | ||
[[Category:Cards]] | [[Category:Cards]] | ||
Revision as of 11:47, 29 June 2015
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
Differential Diagnosis
Diagnosis
- LV angiography (TTE unreliable)
Treatment
- Surgical repair = 10% 5 yr mortality
- Medical therapy = 50% 5 yr mortality
Complications
- Angina (increased O2 demand)
- Complete LV rupture