Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma
Free wall rupture of the left ventricle (LV) is a rare but life-threatening complication of acute myocardial infaction. Very rarely such rupture may be contained by the adhering pericardium creating a pseudoaneurysm. This condition warrants for an emergency surgery. Left ventricular aneurysm is the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=1;spage=169;epage=172;aulast=Bisoyi |
| _version_ | 1819262400249987072 |
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| author | Samarjit Bisoyi Anjan K Dash Debashish Nayak Satyajit Sahoo Raghunath Mohapatra |
| author_facet | Samarjit Bisoyi Anjan K Dash Debashish Nayak Satyajit Sahoo Raghunath Mohapatra |
| author_sort | Samarjit Bisoyi |
| collection | DOAJ |
| description | Free wall rupture of the left ventricle (LV) is a rare but life-threatening complication of acute myocardial infaction. Very rarely such rupture may be contained by the adhering pericardium creating a pseudoaneurysm. This condition warrants for an emergency surgery. Left ventricular aneurysm is the discrete thinning of the ventricular wall (<5 mm) with akinetic or dyskinetic wall motion causing an out-pouching of the ventricle. Given the propensity for pseudoaneurysms to rupture leading to cardiac tamponade, shock, and death, compared with a more benign natural history for true aneurysms, accurate diagnosis of these conditions is important. True aneurysm, usually, calls for an elective surgery. Clinically differentiating the two conditions remains a challenge. We report the case of a patient with LV pseudoaneurysm, initially diagnosed as true aneurysm at our institution. We have attempted to review the existing literature and discussed the characteristic findings of each entity. |
| first_indexed | 2024-12-23T19:57:05Z |
| format | Article |
| id | doaj.art-4f3ba65c5c3b498f8a89c5efc1d2698f |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-23T19:57:05Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-4f3ba65c5c3b498f8a89c5efc1d2698f2022-12-21T17:33:12ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842016-01-0119116917210.4103/0971-9784.173042Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemmaSamarjit BisoyiAnjan K DashDebashish NayakSatyajit SahooRaghunath MohapatraFree wall rupture of the left ventricle (LV) is a rare but life-threatening complication of acute myocardial infaction. Very rarely such rupture may be contained by the adhering pericardium creating a pseudoaneurysm. This condition warrants for an emergency surgery. Left ventricular aneurysm is the discrete thinning of the ventricular wall (<5 mm) with akinetic or dyskinetic wall motion causing an out-pouching of the ventricle. Given the propensity for pseudoaneurysms to rupture leading to cardiac tamponade, shock, and death, compared with a more benign natural history for true aneurysms, accurate diagnosis of these conditions is important. True aneurysm, usually, calls for an elective surgery. Clinically differentiating the two conditions remains a challenge. We report the case of a patient with LV pseudoaneurysm, initially diagnosed as true aneurysm at our institution. We have attempted to review the existing literature and discussed the characteristic findings of each entity.http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=1;spage=169;epage=172;aulast=BisoyiAneurysm; Myocardial infarction; Pseudoaneurysm |
| spellingShingle | Samarjit Bisoyi Anjan K Dash Debashish Nayak Satyajit Sahoo Raghunath Mohapatra Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma Annals of Cardiac Anaesthesia Aneurysm; Myocardial infarction; Pseudoaneurysm |
| title | Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| title_full | Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| title_fullStr | Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| title_full_unstemmed | Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| title_short | Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| title_sort | left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma |
| topic | Aneurysm; Myocardial infarction; Pseudoaneurysm |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=1;spage=169;epage=172;aulast=Bisoyi |
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