Early detection of left ventricular aneurysm rupture by two-dimensional echocardiography and surgical salvage.
A 52-year-old man was admitted to hospital emergency room with cardiogenic shock. The electrocardiogram showed normal tracing. Left ventricular aneurysm rupture at the posterolateral wall and haemopericardium was diagnosed with two-dimensional and colour Doppler echocardiography. The patient was operated on immediately and the defect was repaired. The patient made a good recovery. Four months later coronary angiography and left ventriculography were performed. The coronary vessels were found patent and there was minimal stenosis (lesser than 50%) at the proximal 1/3 portion of left anterior descending (LAD) artery. Left ventriculography showed anterolateral and posterolateral hypokinesis. The patient was symptom free and leading an active life 4 months later.
Yeşildağ
O
O
Department of Cardiology, Faculty of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Ornek
E
E
Kandemir
B
B
Sağkan
O
O
Yüksel
M
M
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D004452:Echocardiography; D004630:Emergencies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D016879:Salvage Therapy; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000601:surgery