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Left ventricular pseudoaneurysm or diverticulum: differential diagnosis and dynamic evaluation by catheter left ventriculography and ECG-gated multidetector CT

2007; Wiley; Volume: 80; Issue: 957 Linguagem: Inglês

10.1259/bjr/31646310

1748-880X

Eduard Ghersin, Arthur Kerner, Luis Gruberg, Yaron Bar-El, S. Abadi, A Engel,

Cardiac Valve Diseases and Treatments

We present a case report of the findings of a left ventricular diastolic out pouching in a patient following acute myocardial infarction diagnosed by catheter left ventriculography and electrocardiography (ECG)-gated multidetector computed tomography (MDCT) findings. Left ventriculography demonstrated a small left ventricular diastolic out pouching, while MDCT enabled accurate evaluation of both left ventricular myocardium and lumen, establishing the diagnosis of an intramural small left ventricular pseudoaneurysm. This case illustrates the full capabilities of MDCT in the evaluation of left ventricular pseudoaneurysms.