Real-time 3-dimensional echocardiography demonstrates size and extent of acute left ventricular free wall rupture.
We describe a patient with acute left ventricular wall rupture and pseudoaneurysm formation after myocardial infarction. We review the accuracy of 2-dimensional transthoracic echocardiography for detection of ventricular pseudoaneurysm and describe the use of real-time handheld 3-dimensional color Doppler echocardiography for the assessment of left ventricular rupture location, orifice geometry, and complex intracardiac flow before surgical correction.
Little
Stephen H
SH
Methodist DeBakey Heart Center Echocardiography Laboratory, Houston, Texas 77030, USA.
Ramasubbu
Kumudha
K
Zoghbi
William A
WA
D000368:Aged; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017809:Fatal Outcome; D006322:Heart Aneurysm / Q000150:complications / Q000000981:diagnostic imaging; D006342:Heart Rupture, Post-Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D009200:Myocardial Contraction / Q000502:physiology; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology