Management and Outcomes of Postmyocardial Infarction Left Ventricular Pseudoaneurysm: A Case-level Systematic Review.
Crit Pathw CardiolJul 2, 2026 (epub)
Chaitanya Karimanasseri, Daler Rahimov, Divya Sankisa et al.
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In 30 seconds
This systematic review analyzed management strategies and outcomes for left ventricular pseudoaneurysm (LVPA) following myocardial infarction, including 159 patients. The study found that 66% underwent surgical repair, with an in-hospital mortality rate of 10%. Notably, reoperative surgery had an 18.8% mortality rate compared to 2.2% for non-reoperative cases (P = 0.004).
Key findings
- In-hospital/30-day mortality was 10% (16/159) among patients with LVPA.
- Operative mortality after surgical repair was 4.8% (5/105).
- Reoperative surgery had an 18.8% mortality rate compared to 2.2% for non-reoperative cases (P = 0.004).
- Overall survival at a median follow-up of 6 months was 86.1% (137/159).
Why it matters
Understanding the management and outcomes of LVPA is crucial for clinicians, as it informs treatment decisions and helps assess the risks associated with surgical and non-surgical interventions in post-myocardial infarction patients.