Application of left echography in the diagnosis of false ventricular aneurysm and mural thrombus
10.3760/cma.j.cn431274-20240803-01189
- VernacularTitle:左心声学造影在诊断假性室壁瘤及合并附壁血栓中的应用
- Author:
Yanling XUE
1
;
Xiaojing MA
;
Shurui XIE
;
Juan XIA
;
Yafeng HE
;
Zhengchun YU
Author Information
1. 武汉科技大学附属武汉亚洲心脏病医院超声科，武汉市心血管影像临床医学研究中心，武汉 430022
- Keywords:
Echocardiography;
Left ventricular opacification;
Pseudoaneurysm;
Thrombus
- From:
Journal of Chinese Physician
2024;26(10):1460-1463
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the value of left echography (LVO) in the diagnosis of false ventricular aneurysm complicated with mural thrombus.Methods:The clinical data of 10 patients with suspected pseudoventricular aneurysm examined by thoracic echocardiography (TTE) in Wuhan Asian Heart Hospital from January 2018 to March 2024 were retrospectively analyzed. All patients underwent LVO examination to further diagnose pseudoventricular tumor and whether it was complicated with mural thrombosis. Computed tomography angiography (CTA) or cardiac magnetic resonance (CMR) examination was used as the gold standard to analyze the diagnostic value of LVO in the diagnosis of pseudoventricular tumor.Results:Among the 10 suspected pseudoventricular tumors examined by TTE, LVO detected 6 cases of left ventricular pseudoaneurysm and 1 case of right ventricular pseudoaneurysm; CTA confirmed that 6 cases of left ventricular pseudoaneurysm detected by LVO were correctly diagnosed, 1 case of right ventricular pseudoaneurysm was misdiagnosed, CMR diagnosed right ventricular diverticula, LVO diagnosis accuracy was 6/7, and 4 cases of thrombi were detected. The detection rate was 4/4. The maximum transverse diameter of the tumor body of the communicating mouth/false ventricular aneurysm was 0.46±0.04. 1 patient underwent coronary artery bypass grafting and resection of false ventricular aneurysm. 1 patient underwent coronary artery interventional stent surgery; 4 routine conservative drug treatment, follow-up observation; One case of right ventricular diverticulum did not require special treatment.Conclusions:LVO contrast agent can clearly show the tumor body and location, measure the tumor entrance and size, and show mural thrombus. It is the first choice for the identification of false ventricular tumor. The diverticula was similar to the image of false ventricular aneurysm, and the sensitivity and specificity of right ventricular wall motion were higher in CMR than in LVO.
