Author + information
- Received December 23, 1985
- Revision received March 11, 1986
- Accepted April 1, 1986
- Published online September 1, 1986.
- Rebecca Wang, MD, MRCP, FACC*,1,
- Joseph R. DeSantola, MD1,
- Nathaniel Reichek, MD1 and
- Richard Edie, MD1
- ↵*Address for reprints: Rebecca Wang, MD, Cardiac Section, Philadelphia Veterans Administration Medical Center, University and Woodland Avenues, Philadelphia, Pennsylvania 19104.
Two years and 9 months after aneurysmectomy of a true left ventricular aneurysm, a 55 year old man presented with clinical features suggestive of acute pericarditis. The echocardiogram revealed a large echo-free space outside the heart. Doppler study showed phasic flow between the echo-free space and the left ventricular cavity through a distinct interruption of the left ventricular apical wall endocardial echoes. The diagnosis of pseudoaneurysm was made and was subsequently confirmed by angiographic and operative findings. After successful repair, a repeat Doppler echocardiographic examination showed a marked reduction in the echo-free space, absence of communication with the left ventricle and no flow signal in the space.
- Received December 23, 1985.
- Revision received March 11, 1986.
- Accepted April 1, 1986.
- American College of Cardiology Foundation