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Eur J Cardiothorac Surg 2007;32:164. doi:10.1016/j.ejcts.2007.04.008
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Images in cardio-thoracic surgery

Three-dimensional echocardiography is a useful tool in the diagnosis of left ventricular pseudoaneurysm

Nurcan Arata,*, Nilgun Isiksalan Ozbulbulb

a Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey
b Turkiye Yuksek Ihtisas Hospital, Department of Radiology, Ankara, Turkey

Received 20 March 2007; received in revised form 4 April 2007; accepted 5 April 2007.

* Corresponding author. Address: 9 Cadde, 110 sokak, Vadi 3000 sitesi, No:2-A/24, Birlik Mahallesi, 06400 Ankara, Turkey. Fax: +90 312 362 4502. (Email: aratnurcan{at}gmail.com).

Key Words: Left ventricular pseudoaneurysm • 3D echocardiography • Computerized tomography

The diagnosis of left ventricular (LV) pseudoaneurysms is difficult, and for accurate diagnosis, transthoracic echocardiography should be reinforced with other imaging modalities (Figs. 1 and 2 ). Three-dimensional (3D) echocardiography can be useful in identification of these complications because it is less time consuming and a non-invasive method ().


Figure 1
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  		Fig. 1. Transthoracic 3D echocardiographic imaging was performed by using Vivid 7 Dimension echocardiography equipment (GE, Vingmed, Horten, Norway). Pseudoaneurysm on the basal posterolateral wall and discontinuity of the myocardium (arrow heads) were shown in apical-to-basal transversely acquired slice of the left ventricle. MV, mitral valve; PsA, pseudoaneursym; RV, right ventricle.

 

Figure 2
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  		Fig. 2. Discontinuity of the myocardium in the pseudoaneurysm was also identified by contrast-enhanced multislice computerized tomography. LV, left ventricle; LA, left atrium; A, pseudoaneursym.

 
Appendix A

Supplementary data

Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2007.04.008.





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