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Computed tomographic evaluation of morphological and functional condition of left ventricle in heart aneurysm

I Rabkin, V Ovtchinnikov, A Judin

    European Journal of Radiology
    |February 1, 1986
    PubMed

    Insights

    Computed tomography (CT) is a noninvasive method for diagnosing left ventricular aneurysm. It provides detailed morphological and functional information, aiding in treatment decisions.

    Area of Science:

    • Cardiology
    • Radiology
    • Medical Imaging

    Background:

    • Post-infarction left ventricular aneurysm is a serious complication.
    • Accurate diagnosis is crucial for effective management and surgical planning.

    Purpose of the Study:

    • To evaluate the diagnostic efficacy of computed tomography (CT) for left ventricular aneurysm.
    • To explore CT's role in assessing morphological and functional changes.

    Main Methods:

    • Layer-by-layer scanning and dynamic scanning for contrast medium optimization.
    • Gated CT to assess left ventricular function (EDV, ESV, EF).
    • Comparison with left ventriculography in cardiosurgical settings.

    Main Results:

    • CT accurately identifies characteristic features of left ventricular aneurysm, including wall thinning, calcification, and thrombosis.
    • It provides crucial data on inter-ventricular septum condition and left ventricular contractility.
    • CT offers valuable insights into end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF).

    Conclusions:

    • CT is a valuable, noninvasive tool for diagnosing left ventricular aneurysm, especially where advanced methods are unavailable.
    • Combined CT and left ventriculography enhance diagnostic accuracy for cardiac aneurysm.
    • CT data aids in evaluating the need for surgical intervention in left ventricular aneurysm.

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