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Chest radiography in all subsets of patients with myocardial infarction increases the sensitivity and specificity of determination of left-sided heart failure.
A false aneurysm of the anterior, apical, or lateral wall may be apparent by a bulging contour of the left ventricular silhouette.
Postinfarction ruptures of papillary muscle result in severe left-sided heart failure.
Ventricular septal ruptures result in pulmonary vascular plethora.
Left Ventricular Aneurysm
Signs include the following:
Bulge of the left ventricular contour
Calcification of the aneurysm ( Graphic 17-1 ; Figs. 17-1 and 17-2 )
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