Left ventricular pseudoaneurysm: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Cards" to "Category:Cardiology") |
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*LV angiography (TTE unreliable) | *LV angiography (TTE unreliable) | ||
== | ==Management== | ||
*Surgical repair = 10% 5 yr mortality | *Surgical repair = 10% 5 yr mortality | ||
*Medical therapy = 50% 5 yr mortality | *Medical therapy = 50% 5 yr mortality | ||
Revision as of 00:22, 9 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
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