Left ventricular pseudoaneurysm
Revisión del 19:38 15 jul 2016 de Rossdonaldson1 (discusión | contribs.) (Text replacement - "SOB" to "shortness of breath")
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
- Can be asymptomatic
- History of MI
- Angina, shortness of breath/DOE
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