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Are you equipped to solve this case? πŸ¦”πŸ‚
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Are you equipped to solve this case? πŸ¦”πŸ‚

A 47-year-old with an ECG suggestive of infero-lateral MI shows an unusual LV outpouching on echo and significant MR. The outpouching is connected to the ventricle via a rather broad neck. Over time, the patient's PAP increased with worsening dyspnea β€” looking at the images, is it a true aneurysm or a pseudoaneurysm? πŸ€”

PS: The image quality is not perfect, however, there are still some features you can take into account!

Which diagnosis is most likely, and what is the next best management step? πŸ§πŸ‚

A. LV pseudoaneurysm β†’ Emergent surgical repair
B. LV true aneurysm β†’ Medical therapy and afterload reduction
C. LV pseudoaneurysm β†’ Conservative therapy with anticoagulation
D. LV true aneurysm β†’ Elective surgical resection with MR correction

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Genre: Education
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RYD date created : 2025-09-20T12:13:27.639865Z
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1 Comments

Top Comments of this video!! :3

@german6145

2 weeks ago

Ischemic aneurysm and septal rupture posteriores M.I.

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