Left
ventricular (LV) pseudoaneurysm is a catastrophic complication of acute
myocardial infarction that is reported in less than 0.1% of patients. It is
caused by myocardial rupture contained within the pericardium and ischaracterized by the absence of true myocardial tissue in its wall unlike, a
true aneurysm which involves the full myocardial wall thickness.
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| Pseudoaneurysm |
The
non-specific clinical presentation of such condition is what makes its diagnosis
a clinical challenge. Early diagnosis is mandatory using noninvasive modalities
such as TTE and CMR or less commonly used nowadays invasive modalities such as
coronary arteriography and left ventriculography. Due its high liability for
fatal rupture urgent surgical intervention is of paramount importance in management
of this pathology.
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