Left ventricular aneurysm differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
True LV aneurysm must be differentiated from pseudo aneurysm and LV | 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> | *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> | ||
| Line 11: | Line 11: | ||
!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 by parietal pericardium | |Wall made by [[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== | ||
Revision as of 16:15, 4 November 2016
|
Left ventricular aneurysm Microchapters |
|
Differentiating Left ventricular aneurysm from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Left ventricular aneurysm differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Left ventricular aneurysm differential diagnosis |
|
Left ventricular aneurysm differential diagnosis in the news |
|
Risk calculators and risk factors for Left ventricular aneurysm differential diagnosis |
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 False LV aneurysm Mostly apical (anterolateral) Mostly inferoposterior Wide mouth Narrow mouth Wall composed of LV myocardial remnants and fibrous tissue Wall made by 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.