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Left ventricular pseudoaneurysm
From WikEM
Contents
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
Evaluation
- 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
