Open AccessCurrent concepts of left ventricular pseudoaneurysm: Pathophysiology, therapy, and diagnostic imaging methods
Author(s) -
March K. L.,
Sawada S. G.,
Tarver R. D.,
Kesler K. A.,
Armstrong W. F.
Publication year - 1989
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960120911
Subject(s) - medicine , pathophysiology , pseudoaneurysm , radiology , intensive care medicine , cardiology , aneurysm
Left ventricular pseudoaneurysm represents a cardiac rupture which is temporarily confined by pericardium and is amenable to curative surgical treatment. The case described illustrates several atypical features of its presentation and diagnosis, highlighting the importance of maintaining a sufficient clinical index of suspicion for this relatively uncommon, but potentially lethal entity. The use of various diagnostic imaging methods is described, including the first description of magnetic resonance imaging of ventricular pseudoaneurysm. The prospect of medical therapies directed toward the prevention of cardiac rupture, and thus pseudoaneurysm, is discussed in the context of its pathophysiology which involves alterations in the cardiac fibroskeletal support.