Early detection of left ventricular aneurysm rupture by two-dimensional echocardiography and surgical salvage

Yesildag O., Ornek E., Kandemir B., Sagkan O., YÜKSEL M.

Acta Cardiologica, vol.48, no.4, pp.385-393, 1993 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 48 Issue: 4
  • Publication Date: 1993
  • Journal Name: Acta Cardiologica
  • Journal Indexes: Scopus
  • Page Numbers: pp.385-393
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

A 52-year-old man was admitted to hospital emergency room with cardiogenic shock. The electrocardiogram showed normal tracing. Left ventricular aneurysm rupture at the posterolateral wall and haemopericardium was diagnosed with two-dimensional and colour Doppler echocardiography. The patient was operated on immediately and the defect was repaired. The patient made a good recovery. Four months later coronary angiography and left ventriculography were performed. The coronary vessels were found patent and there was minimal stenosis (lesser than 50%) at the proximal 1/3 portion of left anterior descending (LAD) artery. Left ventriculography showed anterolateral and posterolateral hypokinesis. The patient was symptom free and leading an active life 4 months later.