J Korean Soc Echocardiogr. 1998 Jul;6(1):89-94. Korean. Published online July 31, 1998. https://doi.org/10.4250/jkse.1998.6.1.89 | |
Copyright © 1998 Korean Society of Echocardiography |
Kwang Seog Kim, Hyun Il Kim, Min Sup Eum, Yong Leul Oh, Han Jin Kwon, Ho Cho, Hyun Cheol Kwak, In Jae Kim and Jeong Sik Park | |
Department of Internal Medicine, Seoul Adventist Hospital, Seoul, Korea. | |
Department of Radiology, Seoul Adventist Hospital, Seoul, Korea. | |
Abstract
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Left ventricular pseudoaneurysm, in which a ventricular free wall rupture is locally contained by adherent pericardium, is a rare complication of myocardial infarction. Compared w'th a true left ventricular aneunsm, 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 pseu- doaneurysm. 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 vith narrow neck was de- tected by transesophageal echocardiography. |
Keywords: Left ventricle; Pseudoaneurysm; Transesophageal echocardiography |