Visualization of left ventricular pseudoaneurysm with panoramic transesophageal echocardiography.
The diagnosis and precise delineation of a pseudoaneurysm of the left ventricle have important implications regarding surgical planning and operative repair. A 68-year-old man was admitted to the hospital with the incidental finding of a large pseudoaneurysm of the left ventricle 6 months after a St. Jude mitral valve replacement performed for partial papillary muscle rupture after an acute myocardial infarction. Panoramic transesophageal echocardiography provided a full depiction of the left ventricle and the adjoining pseudoaneurysm, enhancing the preoperative evaluation of the extent of the defect. A successful repair was undertaken with a pericardial patch.
Esakof
D D
DD
Cardiovascular Imaging and Hemodynamic Laboratory, Tufts-New England Medical Center, Boston, MA 02111.
Vannan
M A
MA
Pandian
N G
NG
Cao
Q L
QL
Schwartz
S L
SL
Bojar
R M
RM
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D013997:Time Factors