[Echocardiographic-Doppler study of a case of subacute and incomplete parietal rupture after myocardial infarction].
The authors report the case of a 55 year old man who suffered a silent, laterobasal myocardial infarction which was complicated by a subacute pseudo-false aneurysm of the lateral wall of the left ventricle. They underline: The importance of two-dimensional echocardiography in the diagnosis of a neo-para left ventricular cavity showing systolic expansion and communicating with the left ventricle by a narrow neck indicating rupture of the free ventricular wall; The value of two-dimensional color coded Doppler which enables the operator to distinguish the active nature of the neo-left ventricular cavity before surgery and its inactivity after surgery. The surgical indication for emergency resection of the pseudo aneurysm was based on these preoperative non-invasive observations. This case confirms the value of cardiac two-dimensional echo-Doppler studies in the investigation of ischaemic heart disease.
Terdjman
M
M
Service de cardiologie, centre hospitalier général Robert Ballanger, Aulnay-sous-bois.
Montely
J M
JM
Mesnildrey
P
P
Chérifi
F
F
Champeau
B
B
Hanania
G
G
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications; D015150:Echocardiography, Doppler; D006341:Heart Rupture / Q000175:diagnosis*; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male
Etude échocardiographique-doppler d'un cas de rupture pariétale incomplète et subaiguë après infarctus du myocarde.