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Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
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Silent and huge left ventricular pseudoaneurysm with left atrial compression: dedicated spatial resolution and

Ying-Hsiang Lee1, Charles Jia-Yin Hou, Chung-Lieh Hung

  • 1Mackay Memorial Hospital, Taipei, Taiwan.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|June 5, 2007
PubMed

Insights

An 83-year-old man developed a cardiac pseudoaneurysm after myocardial infarction. Real-time 3D echocardiography precisely visualized the pseudoaneurysm, aiding successful surgical resection.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Acute myocardial infarction (MI) can lead to cardiac complications.
  • Percutaneous coronary intervention (PCI) is a common treatment for MI.

Observation:

  • An 83-year-old male patient presented with acute inferior wall MI, treated with PCI.
  • Echocardiography revealed a large cardiac chamber compressing the left atrium, connected to the left ventricle via a narrow neck, suggestive of a pseudoaneurysm.

Findings:

  • Real-time 3D echocardiography provided clear visualization of the pseudoaneurysm's spatial relationship, location, and orifice.
  • The technique identified a distinct myocardial break-out point, described as a bird beak with a flap.

Implications:

  • Real-time 3D echocardiography is valuable for diagnosing and characterizing cardiac pseudoaneurysms.
  • Surgical resection proved effective, with an uneventful follow-up, highlighting treatment efficacy.

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