Left Ventricular Contained Rupture: True or Pseudoaneurysm?
نویسندگان
چکیده
Left ventricular wall rupture after acute myocardial infarction (MI) is a fatal complication with the risk of sudden cardiac death. Such contained rupture presents as aneurysmal dilatation of ventricular wall on echocardiography. Pseudoaneurysm with contained rupture sealed by pericardium needs early surgical intervention. Here, the authors present similar case mimicking as pseudoaneurysm on echocardiography, but it was found out to be true aneurysm as surgical finding. The authors also discuss pathophysiology and management of such potentially dreadful cases.
منابع مشابه
Lv Pseudoaneurysm - An Unprecedented Condition
Pseudoaneurysms (false) aneurysms usually develop when cardiac rupture is contained by preexisting adhesion of the pericardium .These lesions are rare and can be distinguished from true aneurysms by a narrow neck which is devoid of myocardial elements in the walls 6-10 .The complication of pseudoaneurysm like angina ,left ventricular failure , embolization and arrythymias are similar to that of...
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1 Dellborg M, Held P, Swedberg K, et al. Rupture of the myocardium: occurrence and risk factors. Br Heart J 1985; 54: 11-6. 2 Pohjola-Sintonen S, Muller JE, Stone PH, et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart 1989; 117: 809-18. 3 Catherwood E, Mintz GS, Kotler MN, ...
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