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Transesophageal Three‐Dimensional Echocardiographic Assessment of Left Ventricular Pseudoaneurysm
Author(s) -
Nekkanti Rajasekhar,
Nanda Navin C.,
Ansingkar Kamlesh G.,
McGiffin David C.
Publication year - 2002
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2002.00169.x
Subject(s) - pseudoaneurysm , medicine , cardiology , myocardial infarction , mitral regurgitation , mitral annulus , radiology , complication , blood pressure , diastole
We report an adult patient with a left ventricular pseudoaneurysm following an acute myocardial infarction in whom three‐dimensional (3‐D) transesophageal echocardiography (TEE) delineated clearly not only the location but also the size and shape of the rupture site. The size of the rupture site measured by 3‐D TEE correlated well with the surgical measurements. Three‐dimensional images also showed a localized superior distortion of the lateral aspect of the mitral annulus and left atrial wall produced by the pseudoaneurysm. The resulting severe mitral regurgitation practically disappeared after repair and decompression of the pseudoaneurysm.