Why the study?
Left ventricular pseudoaneurysm is an ominous consequence of acute myocardial infarction where prompt, accurate diagnosis is crucial for improving patient outcomes.
Cardiac MRI plays a critical role in accurately diagnosing left ventricular pseudoaneurysms following myocardial infarction.
May support CMR after inconclusive echo for suspected post-MI LV pseudoaneurysm; leaves open routine use pending larger studies.
A left ventricular pseudoaneurysm, an ominous consequence of acute myocardial infarction, poses a significant threat to patient well-being. Prompt and accurate diagnosis is crucial for improving patient outcomes. This report describes diagnostic imaging findings for identifying left ventricular pseudoaneurysms, emphasizing the critical role of cardiac magnetic resonance imaging alongside other modalities. We present two cases of patients with a history of myocardial infarction who presented with palpitations, chest pain, and shortness of breath. Initial 2D echocardiography in both patients revealed aneurysmal dilation of the left ventricle. Cardiac MRI was then performed, confirming the diagnosis in both cases.
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Gupta et al. (2024) studied this question.
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