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KMID : 0390619980060010089
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Journal of Cardiovascular Ultrasound
1998 Volume.6 No. 1 p.89 ~ p.94
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A Case of Left Ventricular Pseudoaneurysm Detected by Transesophageal Echocardiography
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Kim Kwang-Seog
Kim Hyun-Il
Eum Min-Sup
Oh Yong-Leul
Kwon Han-Jin
Cho Ho
Kwak Hyun-Cheol
Kim In-Jae
Park Jeong-Sik
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Abstract
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Left ventricular pseudoaneurysm, in which a ventricular free wass rupture is locally contained by adherent pericardium, is a rare complication of myocardial infarction. Compared with a true left ventricular aneurysm, 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 pseudoaneurysm. 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 with narrow neck was detected by transesophageal echocardiography.
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KEYWORD
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Left ventricle, Pseudoaneurysm, Transesophageal echocardiography
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