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. 2022 Feb 24;75:103405. doi: 10.1016/j.amsu.2022.103405

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:
  • 1)

    Nack

Large Narrow
  • 2)

    Wall

Myocardium + pericardium±thrombus Pericardium±thrombus.
Complications
  • -

    Heart failure.

  • -

    Ventricular arrhythmias.

  • -

    Thrombo-embolics.

  • -

    Rupture.