TY - JOUR
T1 - Distinguishing left ventricular aneurysm from pseudoaneurysm
T2 - A review of the literature
AU - Brown, Steven L.
AU - Gropler, Robert J.
AU - Harris, Kevin M.
PY - 1997
Y1 - 1997
N2 - A postmyocardial infarction left ventricular pseudoaneurysm occurs when a rupture of the ventricular free wall is contained by overlying, adherent pericardium. A postinfarction aneurysm, in contrast, is caused by scar formation resulting in thinning of the myocardium. Although the usual treatment for patients with pseudoaneurysm is urgent surgical repair, the imaging characteristics of pseudoaneurysm and aneurysm, for which treatment is more conservative, are quite similar. The literature on the natural history and imaging characteristics of the two entities is reviewed, and an approach to distinguishing between the two entities is proposed.
AB - A postmyocardial infarction left ventricular pseudoaneurysm occurs when a rupture of the ventricular free wall is contained by overlying, adherent pericardium. A postinfarction aneurysm, in contrast, is caused by scar formation resulting in thinning of the myocardium. Although the usual treatment for patients with pseudoaneurysm is urgent surgical repair, the imaging characteristics of pseudoaneurysm and aneurysm, for which treatment is more conservative, are quite similar. The literature on the natural history and imaging characteristics of the two entities is reviewed, and an approach to distinguishing between the two entities is proposed.
KW - aneurysm
KW - echocardiography
KW - myocardial infarction
KW - pseudoaneurysm
UR - http://www.scopus.com/inward/record.url?scp=0030967353&partnerID=8YFLogxK
U2 - 10.1378/chest.111.5.1403
DO - 10.1378/chest.111.5.1403
M3 - Article
C2 - 9149600
AN - SCOPUS:0030967353
SN - 0012-3692
VL - 111
SP - 1403
EP - 1409
JO - Chest
JF - Chest
IS - 5
ER -