Differentiating true versus pseudo left ventricular aneurysm: A case report and review of diagnostic strategies

Michael N. Cho, Sameer K. Mehta, Susan Matulevicius, Douglas Weinstein, Michael A. Wait, Darren K. McGuire

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

The differentiation of left ventricular pseudoaneurysm from true aneurysm is sometimes difficult. Given the propensity for pseudoaneurysms to rupture leading to cardiac tamponade, shock, and death, compared with a more benign natural history for true aneurysms, accurate diagnosis of these conditions is clinically important. Clinical symptoms, physical examination findings, electrocardiograms, and routine x-rays are not sensitive or specific for diagnosing left ventricular aneurysms nor for distinguishing true from pseudoaneurysm once detected. Our aim is to present a case report demonstrating these difficulties and to review the use of various cardiac imaging modalities in differentiating between these 2 entities.

Original languageEnglish (US)
JournalCardiology in Review
Volume14
Issue number6
DOIs
Publication statusPublished - Nov 2006

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Keywords

  • Aneurysm
  • Myocardial infarction
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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