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Updated: Jun 14, 2026

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Published on: February 20, 2017
Differentiating true versus pseudo left ventricular aneurysm: a case report and review of diagnostic strategies
Michael N Cho1, Sameer K Mehta, Susan Matulevicius
1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Abstract:
The differentiation of left ventricular pseudoaneurysm from true aneurysm is sometimes difficult. 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 clinically important. Clinical symptoms, physical examination findings, electrocardiograms, and routine x-rays are not sensitive or specific for diagnosing left ventricular aneurysms nor for distinguishing true from pseudoaneurysm once detected. Our aim is to present a case report demonstrating these difficulties and to review the use of various cardiac imaging modalities in differentiating between these 2 entities.
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