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Updated: Jun 23, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Subepicardial aneurysm: echocardiographic evaluation and evolution.

Francisco-Javier Roldán¹, Jesús Vargas-Barrón, Marlon Aguirre-Espìnosa

¹Department of Echocardiography, Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico. roldan@cardiologia.org.mx

Echocardiography (Mount Kisco, N.Y.)

|May 15, 2009

Summary

Subepicardial aneurysms (SEA) are a rare cardiac complication after myocardial infarction. Early diagnosis via echocardiography is crucial for life-saving surgical repair and preventing fatal rupture.

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Last Updated: Jun 23, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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Published on: February 8, 2022

Three-Dimensional Modeling of the Left Atrium and Pulmonary Veins with a Precise Intracardiac Echocardiography Approach

Three-Dimensional Modeling of the Left Atrium and Pulmonary Veins with a Precise Intracardiac Echocardiography Approach

Published on: June 30, 2023

Area of Science:

Cardiology
Cardiac Surgery
Medical Imaging

Background:

Subepicardial aneurysms (SEA) are infrequent but serious complications of myocardial infarction.
They represent a form of subacute cardiac rupture with potential for fatal cardiorrhexis.
Early diagnosis and surgical intervention are critical for patient survival.

Observation:

This study describes the echocardiographic evolution of subepicardial aneurysms.
The role of contrast-enhanced echocardiography in diagnosing SEA is highlighted.
The unique anatomical features of SEA, including a narrow neck and epicardial containment, are detailed.

Findings:

Echocardiography effectively visualizes the progression of subepicardial aneurysms.
Contrast-enhanced echocardiography improves the diagnostic accuracy of SEA.
A proposed pathophysiological mechanism for SEA development is presented.

Implications:

Improved understanding of SEA pathophysiology may guide future research.
Enhanced echocardiographic techniques can lead to earlier diagnosis and treatment.
Timely surgical repair of SEA significantly improves outcomes and prevents mortality.