large left ventricular pseudoaneurysm
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ID: 198617
2014
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Abstract
Left ventricular pseudoaneurysm (LVPA) can complicate 4% of myocardial infarction ; it forms when rupture of the myocardium is contained by adherent pericardium or scar tissue. The diagnosis of a LVPA can be very difficult because of nonspecific signs and symptoms. Transthoracic twodimensional echocardiography (TTE) is the first applied investigation, although often can be non-diagnostic. TTE, contrast ventriculography, cardiac magnetic resonance (CMR) and three-dimensional echocardiography (3DE) are useful tools in pre-surgical assessment, allowing the differentiation between LV aneurysm and pseudoaneurysm, and the evaluation of LVPA size and spatial distribution. We report a case of a patient with a post-infarction LVPA that was detected initially by TTE and then cofirmed by ventriculography, 3DE and CMR. The patient was successfully treated surgically and then monitored by TTE.
| Reference Key |
cameli2014internationallarge
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| Authors | ;Matteo Cameli;Matteo Lisi;Daniele Menci;Elisa Bigio;Marta Focardi;Flavio D’Ascenzi;Roberto Ceresa;Gianfranco Lisi;Massimo Maccherini;Sergio Mondillo |
| Journal | transplant infectious disease : an official journal of the transplantation society |
| Year | 2014 |
| DOI |
https://doi.org/10.17987/icfj.v1i5.64
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