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Updated: Feb 8, 2026
06:34
Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
4.7K
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.
Summary
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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