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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
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Multiple Imaging Modalities Including Three-Dimensional Echocardiography in Left Ventricular Pseudoaneurysm After
Muhammed Keskin1, Tuğba Kemaloğlu Öz2, Mehmet Mahir Atasoy3
1Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Electronic correspondence: drmuhammedkeskin@gmail.com.
The Journal of Heart Valve Disease
|December 24, 2016
Summary
Left ventricular pseudoaneurysm (LVPA) is a rare complication after mitral valve replacement (MVR). Accurate diagnosis requires combining 2D transthoracic echocardiography (TTE) with advanced imaging like 3D TTE and CT.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Left ventricular pseudoaneurysm (LVPA) is a rare but serious complication following mitral valve replacement (MVR).
- Diagnosis can be challenging, necessitating advanced imaging techniques for confirmation.
Observation:
- A case of late-onset LVPA is presented in a 72-year-old female, five years post-MVR, presenting with dyspnea.
- Diagnosis was established using a combination of 2D transthoracic echocardiography (TTE), 3D TTE, and contrast-enhanced computed tomography (CT).
Findings:
- The study highlights the utility of integrating multiple imaging modalities, including 2D TTE, 3D TTE, and MDCT, for comprehensive LVPA assessment.
- Despite surgical intervention (aneurysmectomy), the patient experienced a fatal outcome due to cardiogenic shock.
Implications:
- This case underscores the importance of multimodal imaging in diagnosing rare post-MVR complications like LVPA.
- Early and accurate diagnosis through advanced echocardiography and CT may improve patient outcomes, although challenges remain, as evidenced by the patient's mortality.
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