| Usefulness of contrast agents in the diagnosis of left ventricular pseudoaneurysm after acute myocardial infarction. | |
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MedLine Citation:
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PMID: 12114095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVE: The diagnosis of left ventricular pseudoaneurysm after acute myocardial infarction is usually based on echocardiography. However, this technique may have limitations in some patients, especially in cases with suboptimal acoustic window. The objective of this study was to evaluate the usefulness of contrast echocardiography in the diagnosis of left ventricular pseudoaneurysm after myocardial infarction. METHODS AND RESULTS: The study population comprises six patients in whom a two-dimensional echocardiography showed an image consistent with left ventricular pseudoaneurysm. Levovist (Schering) 4gr was administered i.v. to more clearly visualize the blood flow from the left ventricle to the left ventricular pseudoaneurysm cavity in all patients. Infarct location was anterior in five patients, and posterolateral in one. No patient had received thrombolysis or primary angioplasty during the acute phase. The transthoracic echocardiographic study showed an echo-free space adjacent to left ventricle in all patients. In four cases, the diagnosis of left ventricular pseudoaneurysm was made before contrast administration. In the remaining two patients, the definite diagnosis was made only after Levovist administration. CONCLUSION: In the diagnosis of postinfarction left ventricular pseudoaneurysm, the administration of contrast agents may be of help in the correct visualization of the blood flow from the left ventricle to the left ventricular pseudoaneurysm cavity, and may allow a definite diagnosis to be obtained in some patients. |
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Authors:
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R Moreno; J L Zamorano; C Almería; J L Rodrigo; A Villate; V Serra; L Alvarez; A Aubele; L Sánchez-Harguindey |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology Volume: 3 ISSN: 1525-2167 ISO Abbreviation: Eur J Echocardiogr Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-07-12 Completed Date: 2002-11-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100890618 Medline TA: Eur J Echocardiogr Country: England |
Other Details:
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Languages: eng Pagination: 111-6 Citation Subset: IM |
Copyright Information:
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Copyright 2002 The European Society of Cardiology. Published by Elsevier Science Ltd. All rights reserved. |
Affiliation:
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Laboratory of Echocardiography, Hospital Clínico San Carlos, Madrid, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aneurysm, False / etiology, ultrasonography* Contrast Media* Echocardiography Female Heart Aneurysm / etiology, ultrasonography* Heart Ventricles Humans Male Middle Aged Myocardial Infarction / complications* Polysaccharides* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 0/Polysaccharides; 127279-08-7/SHU 508 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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