Abstract
Our purpose was to evaluate ventricular function by the use of gated radionuclide angiography, in a patient admitted for a suspected left ventricular pseudoaneurysm. Our subject was a male patient aged 62 years old, who, in January of 1989, had an inferoposterior AMI; after discharge his clinical condition worsened progressively, with dyspnea, and weight loss. We assessed ventricular function and morphology using routine cardiovascular noninvasive techniques as well as Doppler echocardiography, contrast ventriculography, and gated radionuclide angiography. Contrast ventriculography, Doppler echocardiography, and gated radionuclide angiography indicated the presence of a left ventricular pseudoaneurysm connected through a small orifice with the ventricular cavity. Gated radionuclide angiography, in particular, showed an image of the ventricular cavity with a zone of paradoxical kinesis. The aneurysmal cavity was emptied during diastole, with an opposite procedure of the ventricular cavity during the cardiac cycle. Because of deteriorating heart failure, the patient underwent short-term surgery, and the diagnostic suspicion was belied by the postoperative report. The new cavity, discovered in the posteroinferior myocardial segment, was highly suggestive of a pseudoaneurism, but the postoperative report belied our diagnosis. These observations suggest the usefulness, and the limitations, of the use of all the parameters that can be obtained from gated radionuclide ventriculography.
| Original language | English |
|---|---|
| Pages (from-to) | 267-270 |
| Number of pages | 4 |
| Journal | Journal of Cardiovascular Diagnosis and Procedures |
| Volume | 13 |
| Issue number | 4 |
| Publication status | Published - 1996 |
Fingerprint
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Cardiology and Cardiovascular Medicine
Cite this
Gated radionuclide angiography for the differential diagnosis of true left ventricular aneurysm and pseudoaneurysm : A case report. / Astorri, E.; Fiorina, P.; Contini, G. A.; Gavaruzzi, G.; Fesani, F.
In: Journal of Cardiovascular Diagnosis and Procedures, Vol. 13, No. 4, 1996, p. 267-270.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Gated radionuclide angiography for the differential diagnosis of true left ventricular aneurysm and pseudoaneurysm
T2 - A case report
AU - Astorri, E.
AU - Fiorina, P.
AU - Contini, G. A.
AU - Gavaruzzi, G.
AU - Fesani, F.
PY - 1996
Y1 - 1996
N2 - Our purpose was to evaluate ventricular function by the use of gated radionuclide angiography, in a patient admitted for a suspected left ventricular pseudoaneurysm. Our subject was a male patient aged 62 years old, who, in January of 1989, had an inferoposterior AMI; after discharge his clinical condition worsened progressively, with dyspnea, and weight loss. We assessed ventricular function and morphology using routine cardiovascular noninvasive techniques as well as Doppler echocardiography, contrast ventriculography, and gated radionuclide angiography. Contrast ventriculography, Doppler echocardiography, and gated radionuclide angiography indicated the presence of a left ventricular pseudoaneurysm connected through a small orifice with the ventricular cavity. Gated radionuclide angiography, in particular, showed an image of the ventricular cavity with a zone of paradoxical kinesis. The aneurysmal cavity was emptied during diastole, with an opposite procedure of the ventricular cavity during the cardiac cycle. Because of deteriorating heart failure, the patient underwent short-term surgery, and the diagnostic suspicion was belied by the postoperative report. The new cavity, discovered in the posteroinferior myocardial segment, was highly suggestive of a pseudoaneurism, but the postoperative report belied our diagnosis. These observations suggest the usefulness, and the limitations, of the use of all the parameters that can be obtained from gated radionuclide ventriculography.
AB - Our purpose was to evaluate ventricular function by the use of gated radionuclide angiography, in a patient admitted for a suspected left ventricular pseudoaneurysm. Our subject was a male patient aged 62 years old, who, in January of 1989, had an inferoposterior AMI; after discharge his clinical condition worsened progressively, with dyspnea, and weight loss. We assessed ventricular function and morphology using routine cardiovascular noninvasive techniques as well as Doppler echocardiography, contrast ventriculography, and gated radionuclide angiography. Contrast ventriculography, Doppler echocardiography, and gated radionuclide angiography indicated the presence of a left ventricular pseudoaneurysm connected through a small orifice with the ventricular cavity. Gated radionuclide angiography, in particular, showed an image of the ventricular cavity with a zone of paradoxical kinesis. The aneurysmal cavity was emptied during diastole, with an opposite procedure of the ventricular cavity during the cardiac cycle. Because of deteriorating heart failure, the patient underwent short-term surgery, and the diagnostic suspicion was belied by the postoperative report. The new cavity, discovered in the posteroinferior myocardial segment, was highly suggestive of a pseudoaneurism, but the postoperative report belied our diagnosis. These observations suggest the usefulness, and the limitations, of the use of all the parameters that can be obtained from gated radionuclide ventriculography.
UR - http://www.scopus.com/inward/record.url?scp=0029860733&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029860733&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0029860733
VL - 13
SP - 267
EP - 270
JO - Journal of Cardiovascular Diagnosis and Procedures
JF - Journal of Cardiovascular Diagnosis and Procedures
SN - 1073-7774
IS - 4
ER -