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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > MITRAL VALVE DISEASE > Multiple Imaging Modalities Including Three-Dimensional Echocardiography in Left Ventricular Pseudoaneurysm After Mitral Valve Replacement

Multiple Imaging Modalities Including Three-Dimensional Echocardiography in Left Ventricular Pseudoaneurysm After Mitral Valve Replacement

Muhammed Keskin1,3, Tuğba Kemaoğlu Öz1, Mehmet Mahir Atasoy2, Işıl Atasoy1, Altuğ Ösken1, Abdullah Kemal Tuygun1

1Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
2Maltepe University Radiology Department, Istanbul, Turkey
3Electronic correspondence: drmuhammedkeskin@gmail.com

Left ventricular pseudoaneurysm (LVPA) after mitral valve replacement (MVR) is a rare condition. The diagnosis of LVPA may be difficult, and for accurate diagnosis, two-dimensional (2D) transthoracic echocardiography (TTE) should be used in combination with other imaging modalities such as multiple detector computed tomography (MDCT) and three-dimensional (3D) TTE. Herein is presented a late type of post-MVR pseudoaneurysm in a 72-year-old female who was admitted to the authors’ emergency department with complaints of dyspnea. She had undergone MVR five years previously. A diagnosis was made via 2D TTE, supported by 3D TTE and contrast-enhanced CT. Although aneurysmectomy was performed the patient died due to cardiogenic shock. To the authors’ knowledge, the


present case report provides the most intense investigation, evaluation and assessment of LVPA performed to date, using different imaging modalities and surgical findings.

Movie 1(a) Two-dimensional TTE, four-chamber view.

Movie 1(b) Two-dimensional TTE, short-axis view.

Movie 2(a) Live/real-time 3D TTE, en face view of the LVPA imaged from the lateral side.

Movie 2(b) Live/real time 3D TTE, en face view of the LVPA (arrow) imaged from the left ventricular side.

The Journal of Heart Valve Disease 2016;25:459-462


Multiple Imaging Modalities Including Three-Dimensional Echocardiography in Left Ventricular Pseudoaneurysm After Mitral Valve Replacement

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