Combined noninvasive imaging with echocardiography and nuclear techniques can effectively identify and delineate left ventricular pseudoaneurysms to guide surgical intervention.
May support noninvasive LV pseudoaneurysm detection in select cases; hypothesis-generating and requires prospective validation.
This 45-year-old white male was evaluated for congestive heart failure initially ascribed to a rapidly progressive cardiomyopathy. Both radionuclide ventriculography and echocardiography correctly identified a left ventricular pseudoaneurysm as the cause for heart failure. Thallium-201 scintigraphy, by demonstrating a large perfusion defect, suggested a large ostium of the pseudoaneurysm. Following resection of the false aneurysm, a Dacron prosthesis was required to close a large posterior wall defect. We conclude that both radionuclide ventriculography and echocardiography can independently demonstrate a left ventricular pseudoaneurysm. The combined noninvasive approach is able to delineate various anatomical aspects of the pseudoaneurysm and help in planning adequate surgical intervention.
No takes yet. Share an insight, caveat, or question.
Ptacin et al. (1983) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: