Giant Left Ventricular Aneurysm. Contrast Echocardiographic Study
نویسندگان
چکیده
REZUMAT GIANT LEFT VENTRICULAR ANEURYSM. CONTRAST ECHOCARDIOGRAPHIC STUDY Adina Ionac1, Cristian Mornos1, Georgiana S. Ionescu1, Horea Feier2, Marian Gaspar2, Milovan Slovenski2, Irina Popescu1, Dragos Cozma1, Vlad A. Ionescu2, Stefan I. Dragulescu1 Left ventricular (LV) aneurysms have as the main cause of formation, in up to 95% of the cases, the coronary artery disease: the ST myocardial infarction of the LV anterior wall, in association with total left anterior descending (LAD) coronary artery occlusion and poor collateral circulation. In this case report we want to present a situation where a giant LV aneurysm was formed, despite the LAD spontaneous reperfusion, 1 week after the acute event, and despite the correct anti-remodeling medication. We want to emphasize the role of echocardiography for the positive diagnosis and the precise location of the LV aneurysm, as well as the importance of contrast-echocardiography in regards to the differential diagnosis that may rise from the clinical and paraclinical context. What seemed to be a LV wall rupture was, in fact a true LV aneurysm, independently associated with pericarditis, an aspect later confirmed during surgery. In addition to this, the ischemic mechanism of mitral regurgitation was documented by tridimensional echocardiography and also confirmed by intraoperative data.
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