[HSF] When is an aneurysm pseudo?

[Tea Acuff]

The point of the case is that the classic echocardiographic characteristics for LV pseudoaneurym may occasionally be in error. This may be because of pericardial adhesions from other events such as CABG. Certainly these characteristics were a prominent point in our recertification exam. 
The title is misleading because I was also going include a discussion concerning a submitral LV aneurysm which was also in the same journal. (Maybe I can get a release from the editor to show these pictures from THI Journal.) These aneurysms are primarily in Africans and are thought to be "congenital". They can be large and can compress the LA and aorta and distort the mitral valve. Strangely they have small necks and are posterior usually near the AV groove. 
I just thought it interesting that in one journal an echo of what we think is a true aneurysm isn't. In the same copy a surgical description of what we would think would by surgical findings be pseudo is called true and congential. 
So now when one takes their recert exam, one can do what all students do: Ask what do I think they are asking, not what do I think is true. In truth I mean no disrespect to those that make up the exam.
tea 



tea



----- Original Message ----
From: "Hgrmd at aol.com" <Hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, February 10, 2007 6:00:47 AM
Subject: Re: [HSF] When is an aneurysm pseudo?


Tea,
  Distilling what I think you said to a few words, a pseudoaneurysm is  just 
a contained rupture.  It usually is between the heart and the  diaphragm.  It 
is a surgical lesion.  I've done a few, and I generally  use a Hemashield 
patch and Bioglue.  All except one patient did well.
Hal
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