Left Ventricular Pseudoaneurysm Identified by Cross-Sectional Echocardiography

Abstract

Brief Reports1 June 1979Left Ventricular Pseudoaneurysm Identified by Cross-Sectional EchocardiographyTHOMAS D. SEARS, M.D., YEE SE ONG, M.D., HELEN STARKE, M.D., ALAN D. FORKER, M.D.THOMAS D. SEARS, M.D., YEE SE ONG, M.D., HELEN STARKE, M.D., ALAN D. FORKER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-90-6-935 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPseudoaneurysms of the left ventricle result from myocardial rupture, with clotted blood restrained only by the fibrous pericardium (1-3). There have been occasional reports of pseudoaneurysms of the left ventricle identified by M-mode echocardiography and gated radionuclide blood pool imaging (4-6). Before the use of these noninvasive techniques, the only clinical method to diagnose a left ventricular pseudoaneurysm was left ventriculography (7).The proper separation of left ventricular pseudoaneurysm from true aneurysm is important because of the greater risk of death in pseudoaneurysm due to rupture (2, 8). We demonstrate here the ability of cross-sectional echocardiography to diagnose a left...References1. GOBELVISUDH-AROMEDWARDS FKJ: Pseudoaneurysm of the left ventricle leading to recurrent pericardial hemorrhage. Chest 59:23-27, 1971 CrossrefMedlineGoogle Scholar2. VLODAVERCOEEDWARDS ZJJ: True and false left ventricular aneurysms. Propensity for the latter to rupture. Circulation 51:567-572, 1975 CrossrefMedlineGoogle Scholar3. CHESLERKORNSSEMBAEDWARDS EMTJ: False aneurysms of the left ventricle following myocardial infarction. Am J Cardiol 23:76-82, 1969 CrossrefMedlineGoogle Scholar4. DAVIDSONPARISIHARRINGTONBARSAMIANFISHBEIN KAJEM: Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. Review of the literature. Ann Intern Med 86:430-433, 1977 LinkGoogle Scholar5. ROELANDTVAN DEN BRANDVLETTERNAUTAHUGENHOLTZ JMWJP: Echocardiographic diagnosis of pseudoaneurysm of the left ventricle. Circulation 52:466-472, 1975 CrossrefMedlineGoogle Scholar6. BOTVINICKSHAMESHUTCHINSONROEFITZPATRICK EDJBM: Noninvasive diagnosis of a false left ventricular aneurysm with radioisotope gated cardiac blood pool imaging. Differentiation from true aneurysm. Am J Cardiol 37:1089-1093, 1976 CrossrefMedlineGoogle Scholar7. HIGGINSLIPTONJOHNSONPETERSONVIEWEG CMAKW: False aneurysms of the left ventricle. Identification of distinctive clinical radiographic, and angiographic features. Radiology 127:21-27, 1978 CrossrefMedlineGoogle Scholar8. VAN TASSELEDWARDS RJ: Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. Chest 61:104-116, 1972 CrossrefMedlineGoogle Scholar9. MARTINALMONDSAABWATSON RCSL: True and false aneurysms of the left ventricle following myocardial infarction. Am J Med 62:418-424, 1977 CrossrefMedlineGoogle Scholar10. SCHLICHTERHELLERSTEINKATZ JHL: Aneurysm of the heart: a correlative study of one hundred and two proved cases. Medicine (Baltimore) 33:43-86, 1954 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: THOMAS D. SEARS, M.D.; YEE SE ONG, M.D.; HELEN STARKE, M.D.; ALAN D. 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