Echocardiographic diagnosis of a massive left ventricular pseudoaneurysm: a case report
نویسندگان
چکیده
Left ventricular aneurysm is one of the most troublesome complications of myocardial infarction. This complication results from LV wall rupture and presents as a cavity contained by pericardium and fragments of the ruptured wall. The risk of pseudoaneurysm rupture is very high and this makes the prognosis for the disease extremely unfavorable. A surgical correction, involving a patch repair of the LV wall, seems to be the only treatment modality. Echocardiography makes it possible to diagnose pseudoaneurysm of the left ventricle in most cases, while intraoperative transesophageal echocardiography is required for the in-process monitoring of intracardiac hemodynamics and assessment of intervention efficiency.
منابع مشابه
AORTO-LEFT VENTRICULAR TUNNEL. A CASE REPORT WITH AORTIC PRESSURE AND ECHOCARDIOGRAPHIC FINDINGS
A seven-year-old girl with clinical diagnosis of aortic insufficiency underwent echocardiographic and hemodynamic evaluation and referred for surgery with the same diagnosis. However, at surgery, aorto-Ieft ventricular tunnel was found and repaired successfully. Review of echocardiogram and catheterization data revealed interesting findings to differentiate this rare entity from congenital...
متن کاملHypereosinophilic Cardiac Involvement Presenting With Left Ventricular Massive Thrombus and Cardioembolic Stroke: A Case Report
Introduction: It is well known that the tendency toward thrombosis is increased in cancer patients. The increase in cancer procoagulant and tissue factor levels, endothelial damage, and stasis due to compression are among the most accused causes of thrombosis in cancer patients. Hypereosinophilia is a rare condition that causes endothelial damage leading to thrombosis. <s...
متن کاملEchophonocardiographic diagnosis of left ventricular pseudoaneurysm.
We report the presence of an unusual systolic murmur associated with a traumatic left ventricular pseudoaneurysm. Echophonocardiographic studies showed the murmur to begin at the first heart sound, but end well before the second heart sound. It seems likely that the murmur is caused by the systolic flow of blood from the left ventricle into the relatively noncompliant pseudoaneurysm. The echoca...
متن کاملLeft ventricular postoperative false aneurysm following apical venting
We report a case of false aneurysm of the left ventricle occurring subsequently to the placing of a vent sump line through the apex during an aortic valve procedure; the diagnosis was made twelve months later during a routine echocardiographic examination. The lesion was successfully repaired. This case recommend the use of other routes of venting in order to reduce the incidence of such compli...
متن کاملPSEUDOANEURYSM OF RIGHT VENTRICLE DUE TO LOCALIZED TUBERCULOSIS OF MYOCARDIUM: A CASE REPORT
A 5-year-old girl was admitted to the hospital with chest pain, fever and dyspnea. Physical examination showed normal heart sounds, diminished pulmonary sounds in the left hemithorax and a normal ECG. On chest X-ray the heart was slightly enlarged with moderate left pleural effusion. CT scan revealed pleural effusion and a hypodense mass at the apex of the heart. A cystic mass was detected...
متن کامل