Left ventricular pseudoaneurysm: Difference between revisions
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*Hx of [[MI]] | *Hx of [[MI]] | ||
*Angina, [[SOB]]/DOE | *Angina, [[SOB]]/DOE | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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