A Practical Guide to Recognizing and Managing Pseudoaneurysms Using Echocardiography
Strategies, Techniques & Key Takeaways
Introduction to Aneurysms
A ventricular aneurysm is a bulge or weakened area in the wall of the heart’s ventricle(s)—most commonly the left ventricle—that typically forms after a myocardial infarction. When heart muscle dies or weakens, the damaged area may stretch and balloon outward as the heart contracts. This structural abnormality can lead to serious complications, including heart failure, arrhythmias, thromboembolic events, and in some cases, rupture—a life-threatening emergency requiring immediate medical attention.
In 2019, ischemic heart disease caused around 8.9 million deaths globally, making up 16% of all deaths, according to the World Health Organization. Of these, 1 to 3% lead to a pseudoaneurysm—a rare but serious complication. In the following lesson, we’ll cover the key echocardiographic features, diagnostic strategies, and practical guidance to help improve outcomes in these challenging cases.