Left ventricular pseudoaneurysm: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Treatment==" to "==Management==") |
(Text replacement - "Hx " to "History ") |
||
| Line 8: | Line 8: | ||
==Clinical Features== | ==Clinical Features== | ||
*Can be asymptomatic | *Can be asymptomatic | ||
* | *History of [[MI]] | ||
*Angina, [[SOB]]/DOE | *Angina, [[SOB]]/DOE | ||
Revision as of 10:11, 14 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