Causes of Left Ventricular Aneurysm and Pseudoaneurysm
Post MI –
caused by total occlusion of the left anterior descending coronary artery and the absence of collateralization
RCA inferoposterior basal wall
Circumflex lateral wall
patients with multivessel disease,
aneurysms are uncommon due to
extensive collateralization
hypertrophic cardiomyopathy and
Chagas disease,
Result
Functional
akinetic (without movement) or
dyskinetic
CHF
Structural
Size 1-8 cms
Shape
Round
Position
apex and anterior wall are 70 to 85 %
inferoposterior basal wall RCA
lateral LVA secondary to left circumflex occlusion is exceedingly rare
Character
Chronic Infarction at the apex of the LV with thinning and fibrosis of the myocardium Study from 1960 Ashley Davidoff THE COMMONVEIN.net
The wall of the aneurysm typically consists o
white fibrous scar and is very thin.
organized clot in over 50 percent of cases
Causes of Left Ventricular Aneurysm and Pseudoaneurysm
Post MI –
hypertrophic cardiomyopathy and
Chagas disease,
Complications
CHF
ventricular arrhythmias
arrhythmias
Rupture – rare
Normal LV vs apical aneurysm Ashley Davidoff THECOMMONVEIN.net Duck-billed platypus, is a semiaquatic, egg-laying mammal endemic to eastern Australia,
Dr Lloyd Hawes
Never Discard Films Courtesy Dr Lloyd Hawes TheCommonVein.net 59 year old male who sustained an acute MI in November with a normal CXR and one month later went into CHF. Surgical removal of an aneurysmal sac Courtesy Dr Lloyd Hawes TheCommonVein.net
1 month later
59 year old male who sustained an acute MI in November with a normal CXR and one month later went into CHF. Surgical removal of an aneurysmal sac Courtesy Dr Lloyd Hawes TheCommonVein.net 59 year old male who sustained an acute MI in November with a normal CXR and one month later went into CHF. Surgical removal of an aneurysmal sac Courtesy Dr Lloyd Hawes TheCommonVein.net 70 year old male with cardiomegaly and a calcified apical aneurysm Ashley Davidoff TheCommonVein.net. 70 year old male with cardiomegaly and a calcified apical aneurysm Ashley Davidoff TheCommonVein.net. 70 year old male with cardiomegaly and a calcified apical aneurysm Ashley Davidoff TheCommonVein.net.
This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30472 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan LV aneurysm with fat The CommonVein.net LV aneurysm with fat and dystrophic calcification The CommonVein.net LV aneurysm with fat and dystrophic calcification The CommonVein.net LV aneurysm with Calcium The CommonVein.net Focal LV aneurysm with Calcium The CommonVein.net Focal LV aneurysm with Calcium The CommonVein.net LV aneurysm with Thinning The CommonVein.net LV aneurysm with thrombus – acute or subacute TheCommonVein.net 82 M LV aneurysm with thrombus – acute or subacute TheCommonVein.net LV aneurysm with thrombus – Chronic TheCommonVein.net LV aneurysm with thrombus – Chronic TheCommonVein.net LV aneurysm with posterior basal RCA distribution TheCommonVein.net
LV Aneurysm Axial CT through the left ventricle (LV) shows rounding of the apex and thinning of the overlying myocardium. This finding is consistent with an apical LV aneurysm most likely caused by LAD disease. Note the fat dysplasia in the apical myocardium which confirms the prior infarct. Ashley Davidoff MD 0040 B heart 57 M aneurysm 70 year old male with apical aneurysm and associated subendocardial fat in the apex Note also a dissection in the descending aorta Ashley Davidoff THECOMMONVEIN.net 56 year old male with an apical aneurysm with subendocardial fat and dystrophic calcification in the aneurysm. Note also the fat within the septum Ashley Davidoff THECOMMONVEIN.net
01213
Courtesy Ashley Davidoff MD 01213 esophagus + fx dilated + fx fluid filled + dx achalasia of the cardia +cardiac heart LV apex left ventricle calcified calcification aneurysm thrombus RS pleura pleural calcification asbestos related disease imaging radiology CTscan
30472
This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30472 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
30473
This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30473 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
32074
This cross sectional CT image of the heart shows the apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy of Ashley Davidoff M.D. 32074 code heart LV apex aneurysm thrombus aneurysm IHD CAD MI large cardiac imaging radiology CTscan
33511
This transverse CT scan through the apex of the left ventricle shows a focal calcification at the apex. The diagnosis evolves into a focal pseudoaneurysm of the LV apex. Courtesy Ashley Davidoff MD 33511 code heart LV apex calcified pseudoaneurysm inflammation immune rheumatic heart disease RHD cardiac imaging radiology CTscan
This transverse CT scan through the apex of the left ventricle shows a focal bulge at the apex. There is an associated small focal calcification in the myocardium that was noted on a CT 3 years prior in this patient with a diagnosis of a focal pseudoaneurysm of the LV apex. Courtesy Ashley Davidoff MD 33513 heart LV apex calcified pseudoaneurysm inflammation immune rheumatic heart disease RHD cardiac imaging radiology CTscan
33157
This power motion imaging echo of the heart showing a 4 chamber view, and demonstrating the left ventricle. The apex of the LV is rounded suggesting a LV aneurysm. Courtesy Philips Medical Systems 33157 code cardiac heart echo LV aneurysm dyskinetic segment apex imaging cardiac echo
42394.800
42394.800 heart cardiac LV left ventricle platypus shape fx dilated fx enlarged dyskinetic segment CTscan Davidoff MD
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This power motion imaging echo of the heart showing a 4 chamber view, and demonstrating the left ventricle. The apex of the LV is rounded suggesting a LV aneurysm. Courtesy Philips Medical Systems 33157 code cardiac heart echo LV aneurysm dyskinetic segment apex imaging cardiac echo
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This power motion imaging echo of the heart showing a 4 chamber view, and demonstrating the left ventricle. The apex of the LV is rounded suggesting a LV aneurysm. Courtesy Philips Medical Systems 33157 code cardiac heart echo LV aneurysm dyskinetic segment apex imaging cardiac echo
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This transverse CT scan through the apex of the left ventricle shows a focal calcification at the apex. The diagnosis evolves into a focal pseudoaneurysm of the LV apex. Courtesy Ashley Davidoff MD 33511 code heart LV apex calcified pseudoaneurysm inflammation immune rheumatic heart disease RHD cardiac imaging radiology CTscan
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33511
This transverse CT scan through the apex of the left ventricle shows a focal calcification at the apex. The diagnosis evolves into a focal pseudoaneurysm of the LV apex. Courtesy Ashley Davidoff MD 33511 code heart LV apex calcified pseudoaneurysm inflammation immune rheumatic heart disease RHD cardiac imaging radiology CTscan
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This cross sectional CT image of the heart shows the apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy of Ashley Davidoff M.D. 32074 code heart LV apex aneurysm thrombus aneurysm IHD CAD MI large cardiac imaging radiology CTscan
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32074
This cross sectional CT image of the heart shows the apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy of Ashley Davidoff M.D. 32074 code heart LV apex aneurysm thrombus aneurysm IHD CAD MI large cardiac imaging radiology CTscan
)
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)
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This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30473 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
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30473
This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30473 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
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This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30472 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
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This cross sectional CT image of the heart shows calcified apex of the left ventricle associated with thrombus, characteristic of an LV aneurysm. The cause is almost certainly secondary to coronary artery disease and ischemic heart disease with secondary myocardial infarction. Courtesy Ashley Davidoff MD. 30472 code heart LV apex IHD CAD aneurysm calcification calcified MI cardiac imaging radiology CTscan
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01213
Courtesy Ashley Davidoff MD 01213 esophagus + fx dilated + fx fluid filled + dx achalasia of the cardia +cardiac heart LV apex left ventricle calcified calcification aneurysm thrombus RS pleura pleural calcification asbestos related disease imaging radiology CTscan
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Courtesy Ashley Davidoff MD 01213 esophagus + fx dilated + fx fluid filled + dx achalasia of the cardia +cardiac heart LV apex left ventricle calcified calcification aneurysm thrombus RS pleura pleural calcification asbestos related disease imaging radiology CTscan
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