Left ventricular aneurysm differential diagnosis: Difference between revisions
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{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
True left [[ventricular]] (LV) [[aneurysm]] must be differentiated from pseudo aneurysm and LV [[diverticulum]]. | |||
==Differential diagnosis== | ==Differential diagnosis== | ||
True LV aneurysm must be differentiated from false aneurysms.<ref name="pmid17053370">{{cite journal |vauthors=Cho MN, Mehta SK, Matulevicius S, Weinstein D, Wait MA, McGuire DK |title=Differentiating true versus pseudo left ventricular aneurysm: a case report and review of diagnostic strategies |journal=Cardiol Rev |volume=14 |issue=6 |pages=e27–30 |year=2006 |pmid=17053370 |doi=10.1097/01.crd.0000233756.66532.45 |url=}}</ref> <ref name="pmid21224951">{{cite journal |vauthors=Makkuni P, Kotler MN, Figueredo VM |title=Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review |journal=Tex Heart Inst J |volume=37 |issue=6 |pages=699–705 |year=2010 |pmid=21224951 |pmc=3014120 |doi= |url=}}</ref> | |||
{| class="wikitable" | |||
!True LV aneurysm | !True LV aneurysm | ||
!False LV aneurysm | !False LV aneurysm | ||
|- | |- | ||
|Mostly apical (anterolateral) | |Mostly [[apical]] (anterolateral) | ||
|Mostly inferoposterior | |Mostly inferoposterior | ||
|- | |- | ||
| Line 17: | Line 17: | ||
|Narrow mouth | |Narrow mouth | ||
|- | |- | ||
|Wall composed of LV myocardial remnants and fibrous tissue | |Wall composed of LV [[myocardial]] remnants and [[fibrous]] tissue | ||
|Wall made | |Wall made up of [[parietal]] [[pericardium]] | ||
|- | |- | ||
|Almost never ruptures | |Almost never ruptures | ||
|Often ruptures | |Often ruptures | ||
|- | |- | ||
|May contain thrombus | |May contain [[thrombus]] | ||
|Almost always contain thrombus | |Almost always contain [[thrombus]] | ||
|} | |} | ||
Left ventricular [[diverticulum]] is another differential diagnosis of LV aneurysm.<ref name="pmid6771415">{{cite journal |vauthors=Pressoir R, Downing JW |title=Congenital diverticula of the right ventricle of the heart: a case report |journal=J Natl Med Assoc |volume=72 |issue=3 |pages=262–4 |year=1980 |pmid=6771415 |pmc=2552564 |doi= |url=}}</ref><ref name="pmid14868223">{{cite journal |vauthors=SKAPINKER S |title=Diverticulum of the left ventricle of the heart; review of the literature and report of a successful removal of the diverticulum |journal=AMA Arch Surg |volume=63 |issue=5 |pages=629–34 |year=1951 |pmid=14868223 |doi= |url=}}</ref> | |||
* | *It is defined as an outpouching structure that contains [[endocardium]], [[myocardium]], and [[pericardium]]. | ||
*It displays normal contraction and is considered to be [[congenital]]. | |||
==References== | ==References== | ||
Latest revision as of 03:49, 9 April 2017
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Differentiating Left ventricular aneurysm from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
True left ventricular (LV) aneurysm must be differentiated from pseudo aneurysm and LV diverticulum.
Differential diagnosis
True LV aneurysm must be differentiated from false aneurysms.[1] [2]
| True LV aneurysm | False LV aneurysm |
|---|---|
| Mostly apical (anterolateral) | Mostly inferoposterior |
| Wide mouth | Narrow mouth |
| Wall composed of LV myocardial remnants and fibrous tissue | Wall made up of parietal pericardium |
| Almost never ruptures | Often ruptures |
| May contain thrombus | Almost always contain thrombus |
Left ventricular diverticulum is another differential diagnosis of LV aneurysm.[3][4]
- It is defined as an outpouching structure that contains endocardium, myocardium, and pericardium.
- It displays normal contraction and is considered to be congenital.
References
- ↑ Cho MN, Mehta SK, Matulevicius S, Weinstein D, Wait MA, McGuire DK (2006). "Differentiating true versus pseudo left ventricular aneurysm: a case report and review of diagnostic strategies". Cardiol Rev. 14 (6): e27–30. doi:10.1097/01.crd.0000233756.66532.45. PMID 17053370.
- ↑ Makkuni P, Kotler MN, Figueredo VM (2010). "Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review". Tex Heart Inst J. 37 (6): 699–705. PMC 3014120. PMID 21224951.
- ↑ Pressoir R, Downing JW (1980). "Congenital diverticula of the right ventricle of the heart: a case report". J Natl Med Assoc. 72 (3): 262–4. PMC 2552564. PMID 6771415.
- ↑ SKAPINKER S (1951). "Diverticulum of the left ventricle of the heart; review of the literature and report of a successful removal of the diverticulum". AMA Arch Surg. 63 (5): 629–34. PMID 14868223.