Dissecting the difference: Left ventricular aneurysm versus pseudoaneurysm.

Muhammad Salman Sabri, Kyra Herman, Hussam Al Hennawi, Alexander Shpilman, James L West
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引用次数: 0

Abstract

Left ventricular aneurysms (LVAs) and pseudoaneurysms (LVPs) are common complications following acute myocardial infarction (AMI), predominantly involving the anterior wall due to complete occlusion of the left anterior descending (LAD) artery. Both conditions are associated with heart failure, arrhythmias, and thromboembolic events. However, differentiating between LVA and LVP is crucial, as LVPs carry a higher rupture risk and require surgical management. We present a case of LVP, diagnosed using cardiac magnetic resonance imaging (CMRI), in a patient with chronic total occlusion of the LAD, which was managed surgically. This case emphasizes the critical role of imaging in guiding appropriate treatment decisions.

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区分左室动脉瘤与假性动脉瘤。
左心室动脉瘤(LVAs)和假性动脉瘤(LVPs)是急性心肌梗死(AMI)后常见的并发症,由于左前降支(LAD)完全闭塞,主要累及前壁。这两种情况都与心力衰竭、心律失常和血栓栓塞事件有关。然而,区分LVA和LVP是至关重要的,因为LVP有更高的破裂风险,需要手术治疗。我们提出一个病例的LVP,诊断使用心脏磁共振成像(CMRI),在患者慢性全闭塞的LAD,这是处理手术。本病例强调了成像在指导适当治疗决策中的关键作用。
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来源期刊
Global Cardiology Science & Practice
Global Cardiology Science & Practice Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.60
自引率
0.00%
发文量
20
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