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Visualization of left ventricular pseudoaneurysm with panoramic transesophageal echocardiography.

Esakof DD, Vannan MA, Pandian NG, Cao QL, Schwartz SL, Bojar RM.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts-New England Medical Center, Boston, MA 02111.

The diagnosis and precise delineation of a pseudoaneurysm of the left ventricle have important implications regarding surgical planning and operative repair. A 68-year-old man was admitted to the hospital with the incidental finding of a large pseudoaneurysm of the left ventricle 6 months after a St. Jude mitral valve replacement performed for partial papillary muscle rupture after an acute myocardial infarction. Panoramic transesophageal echocardiography provided a full depiction of the left ventricle and the adjoining pseudoaneurysm, enhancing the preoperative evaluation of the extent of the defect. A successful repair was undertaken with a pericardial patch.

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PMID: 8185963 [PubMed - indexed for MEDLINE]