Left ventricular pseudoaneurysm
Revision as of 11:45, 29 June 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Left Ventricular Pseudoaneurysm to Left ventricular pseudoaneurysm)
Introduction
- 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)
Diagnosis
- Can be asymptomatic
- Hx of MI
- Angina, SOB/DOE
- LV angiography (TTE unreliable)
Complications
- Angina (increased O2 demand)
- Complete LV rupture
Treatment
- Surgical repair = 10% 5 yr mortality
- Medical therapy = 50% 5 yr mortality