J Korean Soc Echocardiogr.
1998 Jul;6(1):89-94.
A Case of Left Ventricular Pseudoaneurysm Detected by Transesophageal Echocardiography
- Affiliations
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- 1Department of Internal Medicine, Seoul Adventist Hospital, Seoul, Korea.
- 2Department of Radiology, Seoul Adventist Hospital, Seoul, Korea.
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.