A Case of Left Ventricular Pseudoaneurysm Detected by Transesophageal Echocardiography.
- Author:
Kwang Seog KIM
1
;
Hyun Il KIM
;
Min Sup EUM
;
Yong Leul OH
;
Han Jin KWON
;
Ho CHO
;
Hyun Cheol KWAK
;
In Jae KIM
;
Jeong Sik PARK
Author Information
1. Department of Internal Medicine, Seoul Adventist Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Left ventricle;
Pseudoaneurysm;
Transesophageal echocardiography
- MeSH:
Aged;
Aneurysm, False*;
Diagnosis;
Dyspnea;
Echocardiography;
Echocardiography, Transesophageal*;
Female;
Heart Rupture;
Heart Ventricles;
Humans;
Myocardial Infarction;
Neck;
Pericardium;
Rupture
- From:Journal of the Korean Society of Echocardiography
1998;6(1):89-94
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Left ventricular pseudoaneurysm, in which a ventricular free wall rupture is locally contained by adherent pericardium, is a rare complication of myocardial infarction. Compared w'th a true left ventricular aneunsm, a pseudoaneurysm has a greater propensity to sudden rupture, with catastrophic sequelae. Pseudoaneurysm may be surgically curable, a prompt and accurate diagnosis is thus essential. Transthoracic echocardiography has been the procedure of choice in the diagnosis of pseu- doaneurysm. Transesophageal echocardiography can provide more accurate information than transthoracic echocardiography for the evaluation of ventricular pseudoaneurysm located in posterior and inferior wall. We experienced a case of pseudoaneurysm of left ventricle in a 75-year-old female who presented with dyspnea. A large pseudoaneurysm of left ventricle vith narrow neck was de- tected by transesophageal echocardiography.
