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[Spurious aneurysm after myocardial infarct]
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|August 1, 1982
Insights
False left ventricular aneurysms after myocardial infarction result from perforation and typically need prompt surgery. Diagnosis relies on imaging like chest X-rays, echocardiography, CT, and angiography.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- False aneurysms of the left ventricle are a rare but serious complication following myocardial infarction.
- These pseudoaneurysms arise from ventricular wall perforation and often necessitate urgent surgical intervention.
Purpose of the Study:
- To describe the clinical presentation and diagnostic approaches for false left ventricular aneurysms.
- To report the authors' experience with managing nine cases of post-myocardial infarction false aneurysms.
Main Methods:
- Review of clinical data and diagnostic imaging from nine patients with false left ventricular aneurysms.
- Utilized chest X-ray, echocardiography, computed tomography (CT), and angiocardiography for diagnosis.
Main Results:
- Clinical features of false aneurysms are often non-specific, making diagnosis challenging.
- Imaging modalities including chest X-ray, echocardiography, and CT provide crucial diagnostic evidence.
- Angiocardiography confirmed the diagnosis in all cases.
Conclusions:
- Early diagnosis and surgical treatment are critical for managing false left ventricular aneurysms post-myocardial infarction.
- A combination of non-invasive and invasive imaging techniques is essential for accurate diagnosis.
Abstract:
False aneurysms of the left ventricle after myocardial infarction arae the result of perforation, which usually require early surgical treatment. The clinical features are not characteristic. The chest x-ray may provide important evidence for the diagnosis. Non-invasive diagnosis is possible by means of echocardiography and computer tomography; it is confirmed by angiocardiography. The authors experience with nine cases is described.