Key result
Contrast echocardiography diagnoses rare mid-anterolateral wall aneurysm from diagonal branch occlusion and excludes LV thrombus.
Why the study?
Post-myocardial infarction aneurysms usually involve the apical segments, making isolated mid-anterolateral wall aneurysms rare.
Case Report (n=1)
Highlights the utility of ultrasound enhancing contrast in echocardiography for diagnosing rare mid-anterolateral wall ventricular aneurysms and ruling out associated thrombus.
May aid rare LV aneurysm detection with contrast echo; leaves open routine use without larger validation.
Aneurysms following a myocardial infarction usually involve the apical wall segments. We present a case of a rare isolated mid-anterolateral wall aneurysm due to occlusion of a diagonal branch. We review the echocardiographic criteria for diagnosing a left ventricular (LV) aneurysm and discuss how to differentiate one from a more critical pseudoaneurysm. We demonstrate the utility of using ultrasound enhancing contrast and review imaging protocols for ruling out associated LV thrombus.
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Binder et al. (2023) conducted a case report in Isolated mid-anterolateral wall true ventricular aneurysm due to coronary artery disease (n=1). Echocardiography with ultrasound enhancing contrast was evaluated. A rare case of an isolated mid-anterolateral wall aneurysm due to diagonal branch occlusion was diagnosed using echocardiography and ultrasound enhancing contrast to rule out associated LV thrombus.
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