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Distinguishing Left Ventricular Aneurysm From Pseudoaneurysm : A Review of the Literature

Steven L. Brown; Robert J. Gropler; Kevin M. Harris
Author and Funding Information

From the Cardiovascular Division, Washington University School of Medicine, St. Louis


1997 by the American College of Chest Physicians


Chest. 1997;111(5):1403-1409. doi:10.1378/chest.111.5.1403
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Published online

Abstract

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.


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