Two-dimensional echocardiographic recognition of left ventricular pseudoaneurysm.
TLDR
2DE is a useful noninvasive method for revealing left ventricular PAs and for distinguishing PA from TA and considering the high risk of spontaneous rupture associated with pseudoaneurysms, this nonin invasive capability is of paramount clinical importance.Abstract:
Five consecutive patients with proved left ventricular pseudoaneurysm (PA) and 22 patients with true aneurysm (TA) were studied by two-dimensional echocardiography (2DE). In four of the five patients with PA, 2DE successfully displayed the PA. The unique 2DE characteristics of PA include: (1) a sharp discontinuity of the endocardial image at the site of the PA communication with the left ventricular cavity; (2) a saccular or globular contour of the PA chamber; and (3) the presence of a relatively narrow orifice in comparison with the diameter of the PA fundus. In addition, 2DE detected the presence of thrombotic material within the extraventricular chamber in three of four cases. By deriving the ratios of the end-systolic orifice to diameter measurements for the patients with PA (0.37 +/- 0.07) compared with TA (1.00 +/- 0.08), we found that 2DE reliably differentiated PA from TA (p < 0.001). We conclude that 2DE is a useful noninvasive method for revealing left ventricular PAs and for distinguishing PA from TA. Considering the high risk of spontaneous rupture associated with pseudoaneurysms, this noninvasive capability is of paramount clinical importance.read more
Citations
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Journal ArticleDOI
Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm.
TL;DR: The clinical profiles and outcomes of 52 consecutive patients with pseudoaneurysm that was diagnosed before death at the Mayo Clinic in Rochester, Minnesota; Scottsdale, Arizona; and Jacksonville, Florida, between January 1980 and September 1996 were reviewed.
Journal ArticleDOI
Distinguishing Left Ventricular Aneurysm From Pseudoaneurysm: A Review of the Literature
TL;DR: The literature on the natural history and imaging characteristics of the two entities is reviewed, and an approach to distinguishing between the two entity is proposed.
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True versus False Left Ventricular Aneurysm: Differentiation with MR Imaging—Initial Experience
Eli Konen,Naeem Merchant,Carlos Gutierrez,Yves Provost,Linda Mickleborough,Narinder S. Paul,Jagdish Butany +6 more
TL;DR: Initial experience with a small number of patients suggests that marked delayed enhancement of the pericardium is a characteristic feature of false aneurysm.
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Clinical correlations in patients with acute myocardial infarction and left ventricular thrombus detected by two-dimensional echocardiography.
TL;DR: Eleven of forty-nine patients with acute myocardial infarction had left ventricular thrombus identified by two-dimensional echocardiography, meaning the thrombi either developed prior to hospital admission or developed during anticoagulation therapy.
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Echocardiographic-cineangiographic correlation in detecting left ventricular aneurysm: A prospective study of 422 patients
TL;DR: Two dimensional echocardiography can detect or exclude a left ventricular aneurysm with a high level of sensitivity (93 percent) and specificity (94 percent).
References
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A Hemodynamic Study of Left Ventricular Aneurysm
TL;DR: A theoretical analysis presented indicated that when approximately 20 to 25% of left ventricular area is inactivated by any pathological process, the degree of shortening distance required of the myofiber to maintain stroke volume exceeds physiological limits, and cardiac enlargement must ensue to maintain adequate ejection of blood.
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True and false left ventricular aneurysms. Propensity for the altter to rupture.
Z Vlodaver,J I Coe,J E Edwards +2 more
TL;DR: Two cases are described of sudden death resulting from rupture of small chronic false aneurysm of the left ventricle with secondary hemopericardium that support the point that rupture of chronic false left ventricular aneurYSm tends to occur.
Journal ArticleDOI
Rupture of Heart Complicating Myocardial Infarction: Analysis of 40 Cases including Nine Examples of Left Ventricular False Aneurysm
TL;DR: It is interpreted to suggest that the myocardial infarction per se was undetected and that the symptoms erroneously attributed to acuteMyocardial Infarction were secondary to cardiac rupture.
Journal ArticleDOI
A comparison of real-time, two dimensional echocardiography and cineangiography in detecting left ventricular asynergy.
TL;DR: The techniques used together could provide more complete information concerning ventricular wall movement than is now currently available.
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