Dissecting the difference: Left ventricular aneurysm versus pseudoaneurysm.

Publication/Presentation Date

6-30-2025

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.

Volume

2025

Issue

3

First Page

202529

Last Page

202529

ISSN

2305-7823

Disciplines

Medicine and Health Sciences

PubMedID

41346651

Department(s)

Fellows and Residents

Document Type

Article

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