[Fortuitous discovery of the association of true and false aneurysm of the left ventricle after cardiogenic shock].
The authors report the fortuitous diagnosis of a true and a false left ventricular aneurysm in a 77 year old man with severe ischaemic heart disease and calcific aortic stenosis, admitted for cardiogenic shock. The association of these two forms of aneurysm is very rare. Clinical and paraclinical diagnosis is difficult. Conventional left ventriculography is the investigation of reference but the diagnosis has been facilitated by Technetium 99 cardiac scintigraphy and color Doppler echocardiography. Surgery may be considered in cases of true aneurysm especially in patients with left ventricular failure, but the indication is formal in cases of false aneurysm.
Vassal
T
T
Service de réanimation médicale, Hôpital de Bicêtre, Université Paris-Sud, Le Kremlin-Bicêtre.
Porte
J M
JM
Archambaud
F
F
Hebert
J L
JL
Auzépy
P
P
Richard
C
C
D000368:Aged; D000790:Angiocardiography; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000000981:diagnostic imaging; D015150:Echocardiography, Doppler; D004630:Emergencies; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D011875:Radionuclide Angiography; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000601:surgery
Découverte fortuite de l'association d'un vrai et d'un faux anévrysme du ventricule gauche au décours d'un choc cardiogénique.