Two-dimensional echocardiography is an effective method for diagnosing left ventricular pseudoaneurysm following myocardial infarction.
May support echocardiography for post-MI LV pseudoaneurysm diagnosis; leaves open prospective validation before practice change.
A 57-year-old woman, treated for a large anterior transmural myocardial infarction, was readmitted after 8 weeks because of progressive cardiac failure. Chest X-ray showed cardiomegaly with an atypical cardiac silhouette. Two-dimensional echocardiography disclosed a large left ventricular pseudoaneurysm. The patient underwent resection of the false aneurysm with repair of the left ventricular wall and recovered gradually. Different methods for diagnosing pseudoaneurysm are discussed.
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Eriksson et al. (1985) studied this question.
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