Table 1.
Comparative table between LV aneurysm and pseudoaneurysm.
LV aneurysm | LV pseudoaneurysm | |
---|---|---|
Incidence | 8 à 15%/MI | Rare |
Physiopathology | Expansion of the infarcted segments | Myocardial rupture in the pericardium |
Locations | Anterior and apex | Posterior and lateral |
Risk of rupture | + | +++ |
Treatment | Principally medical | Surgery |
Risque chirurgical | Uncertain | Lower than medical treatment |
TTE diagnostic accuracy | High | Low |
Reference imaging | TTE±ventriculography, MRI +++ and cardiac CT scan +++. | Ventriculography, MRI+++, cardiac CT scan+++. |
Morphology: | ||
|
Large | Narrow |
|
Myocardium + pericardium±thrombus | Pericardium±thrombus. |
Complications |
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