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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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An isolated mid-anterolateral wall true ventricular aneurysm due to coronary artery disease

M Scott Binder1, Eric Williams1, Ido Heletz1

  • 1Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, Roanoke, USA.

Echocardiography (Mount Kisco, N.Y.)
|October 14, 2023
PubMed

Insights

This study highlights a rare left ventricular (LV) aneurysm in the mid-anterolateral wall following myocardial infarction. It emphasizes echocardiography for diagnosis and differentiating LV aneurysms from pseudoaneurysms, using contrast and thrombus exclusion protocols.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Left ventricular (LV) aneurysms typically occur in apical segments post-myocardial infarction.
  • A rare case of an isolated mid-anterolateral wall LV aneurysm caused by diagonal branch occlusion is presented.

Approach:

  • Review of echocardiographic criteria for diagnosing LV aneurysms.
  • Discussion on differentiating LV aneurysms from pseudoaneurysms.
  • Demonstration of ultrasound contrast agents for improved visualization.
  • Outline of imaging protocols to exclude LV thrombus.

Key Points:

  • Isolated mid-anterolateral LV aneurysm is a rare finding.
  • Echocardiography is crucial for accurate diagnosis and differentiation from pseudoaneurysms.
  • Ultrasound contrast and specific imaging protocols aid in comprehensive evaluation.

Conclusions:

  • This case expands the understanding of LV aneurysm locations and etiologies.
  • Standard echocardiographic techniques, enhanced with contrast, are effective for diagnosing and managing LV aneurysms and associated thrombi.

Keywords:
anterolateral wall aneurysmultrasound contrast

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