Pseudoaneurysm with left-to-right shunt in a patient with myocardial infarction: evaluation by three-dimensional echocardiography View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-04-07

AUTHORS

Hirofumi Maeba, Yoko Miyasaka, Ayako Kotaka, Satoshi Tsujimoto, Fumio Yuasa, Toshiji Iwasaka

ABSTRACT

It is often difficult to noninvasively differentiate a post-infarction left ventricular (LV) pseudoaneurysm from a post-infarction true aneurysm. A 66-year-old woman with a past history of inferior acute myocardial infarction was admitted to our hospital because of acute decompensated heart failure. Two-dimensional transthoracic echocardiography showed an aneurysm with a narrow orifice in the inferoposterior basal area. The pulmonary to systemic flow ratio (Qp/Qs) was 2.2:1, which corresponded to moderate left–right shunting. Three-dimensional transesophageal echocardiography (3D-TEE) showed the orifice in the perforated right ventricular basal area with a color jet through the orifice from the LV to the right ventricle. Collectively, based on the 3D-TEE findings, we diagnosed the case as inferoposterior pseudoaneurysm with a left-to-right shunt caused by myocardial infarction. More... »

PAGES

169-172

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10396-012-0355-x

DOI

http://dx.doi.org/10.1007/s10396-012-0355-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010169386

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27278977


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