Three-dimensional echocardiography for predicting postoperative ventricular volumes after surgical ventricular reconstruction of left ventricular aneurysm: A case-based presentation

Echocardiography. 2017 Aug;34(8):1250-1253. doi: 10.1111/echo.13617. Epub 2017 Jul 23.

Abstract

Three-dimensional transthoracic echocardiography (3DTTE) may have a role in predicting final left ventricular volumes and clinical response after the surgical ventricular reconstruction (SVR) of left ventricular aneurysms and pseudoaneurysms. Left ventricle final volumes can be calculated through "virtual aneurysmectomy." We present a patient with a huge ventricular dilation combined with myocardial dissection, localized wall rupture, and aneurysm of the left ventricular apex after acute myocardial infarction in which accurate predictions from 3DTTE suggest potential clinical value.

Keywords: acute myocardial infarction; cardiac surgery; dissection; left ventricular aneurysm; live three-dimensional transthoracic echocardiography; myocardial rupture.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures / methods*
  • Cardiac Volume / physiology*
  • Echocardiography, Doppler, Color / methods*
  • Echocardiography, Three-Dimensional / methods*
  • Follow-Up Studies
  • Heart Aneurysm / diagnosis
  • Heart Aneurysm / physiopathology
  • Heart Aneurysm / surgery*
  • Heart Ventricles / diagnostic imaging*
  • Humans
  • Male
  • Plastic Surgery Procedures / methods*
  • Postoperative Period