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Its Recognition and Significance

Rohit R. Arora, MD; Henry J. Issenberg, MD; Hugo Spindola-Franco, MD; Ayodeji Fayemi, MD; Carl Steeg, MD

JAMA. 1988;259(22):3306-3308.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

TRUE left ventricular aneurysm, congenital or acquired, may be defined as an abnormal bulge or outpouching of a portion of the left ventricular wall with or without paradoxical (dyskinetic) systolic expansion. The wall of the aneurysm is composed of either myocardium or fibrous tissue and may be calcified.^1-3 In contrast, a false aneurysm or pseudoaneurysm of the left ventricle (LV) represents a localized myocardial rupture, with the hemorrhage limited by adherent pericardium and fibrous tissue.^4,5 Congenital and false aneurysms of the LV must be differentiated from left ventricular aneurysms resulting from myocardial infarction because the former tend to rupture. Left ventricular aneurysms associated with postmyocardial infarction do not rupture and are repaired only if a complication such as intractable congestive heart failure, arrhythmia, or refractory angina is present.^6,7 Two cases of catastrophic congenital left ventricular aneurysms and a description of the various imaging modalities used to arrive . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Medicine (Dr Arora), Radiology (Drs Spindola-Franco and Fayemi), and Pediatrics (Drs Issenberg and Steeg), Albert Einstein College of Medicine of Yeshiva University at Montefiore Medical Center, Bronx, NY.

Footnotes
Reprint requests to Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr Spindola-Franco).

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