The value of colour flow mapping in the diagnosis of a combined pseudoaneurysm and large true left ventricular aneurysm

During ultrasound assessment of a large postinfarct apical left ventricular aneurysm, a related localized area of ventricular wall rupture was discovered by colour flow mapping. Other non-invasive and invasive techniques failed to demonstrate the pseudoaneurysm. The rare combination of a true and fa...

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Bibliographic Details
Published in:European heart journal 1991-02, Vol.12 (2), p.280-282
Main Authors: DE VRIES, A. G., SAELMAN, J. P. M., SUTHERLAND, G. R.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Flow Velocity - physiology
Cardiology. Vascular system
colour flow mapping
Coronary Circulation - physiology
Coronary heart disease
Diagnosis, Differential
Heart
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - surgery
Heart Rupture, Post-Infarction - diagnostic imaging
Heart Rupture, Post-Infarction - surgery
Heart Ventricles - diagnostic imaging
Heart Ventricles - surgery
Hemodynamics - physiology
Humans
Left ventricular pseudoaneurysm
Male
Medical sciences
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - surgery
Postoperative Complications - therapy
Ultrasonography
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Description
Summary:During ultrasound assessment of a large postinfarct apical left ventricular aneurysm, a related localized area of ventricular wall rupture was discovered by colour flow mapping. Other non-invasive and invasive techniques failed to demonstrate the pseudoaneurysm. The rare combination of a true and false left ventricular aneurysm in one patient and the diagnostic difficulties in this case uniquely illustrate the recent controversy concerning the definition and diagnosis of pseudoaneurysm. The clinical importance of colour flow mapping, as the most sensitive technique in detecting pseudoaneuysm, isemphasized.
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a059882