Treatment of Left Ventricular Aneurysm in Left Ventricular Pseudoaneurysm
Left ventricular pseudoaneurysm is a structurally distinct and high-risk form of left ventricular aneurysm. Its natural history is dominated by the risk of rupture, which determines the clinical imperative to act — regardless of whether the patient is symptomatic.
Clinical Scenario
This protocol applies to left ventricular aneurysm in the setting of left ventricular pseudoaneurysm. Because of its tendency to rupture, a left ventricular pseudoaneurysm must be excised irrespective of symptomatology.
Treatment Approach
Management centres on surgical excision of the pseudoaneurysm. Both open and catheter-based intervention options exist within this treatment strategy — the full protocol defines the preferred pathway and its procedural considerations.
References
- Because of its tendency to rupture, a left ventricular pseudoaneurysm must be excised irrespective of symptomatology.
- Surgery is the preferred treatment for pseudoaneurysm and holds perioperative mortality up to 10%.
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