Journal of Perioperative Echocardiography

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VOLUME 6 , ISSUE 1 ( June, 2018 ) > List of Articles


Role of Perioperative Transesophageal Echocardiography in Left Ventricular Apical Pseudoaneurysm Surgery

Ganesh K Munirathinam, Imran H Bhat, Shyam KS Thingnam, Srinath Damodaran, Virendra K Arya

Keywords : Cardiopulmonary bypass, Left ventricular apical pseudoaneurysm, Myocardial infarction, Transesophageal echocardiography

Citation Information : Munirathinam GK, Bhat IH, Thingnam SK, Damodaran S, Arya VK. Role of Perioperative Transesophageal Echocardiography in Left Ventricular Apical Pseudoaneurysm Surgery. J Perioper Echocardiogr 2018; 6 (1):20-24.

DOI: 10.5005/jp-journals-10034-1082

License: CC BY-SA 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Left ventricular apical pseudoaneurysm following myocardial infarction is a rare entity and often fatal due to rupture of free wall, thus warranting an urgent surgery. Although transthoracic echocardiography (TTE) plays a significant role in the diagnosis of pseudoaneurysm, transesophageal echocardiography (TEE) remains an indispensable tool during perioperative period. In this report, we are describing a case of left ventricular apical pseudoaneurysm planned for an urgent surgery.

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  1. Sirois JG. Acute myocardial infarction. Emerg Med Clin North Am 1995;13(4):759-769.
  2. Alapati L, Chitwood WR, Cahill J, Mehra S, Movahed A. Left ventricular pseudoaneurysm: a case report and review of the literature. World J Clin Cases 2014 Apr;2(4):90-93.
  3. Zoffoli G, Mangino D, Venturini A, Terrini A, Asta A, Zanchettin C, Polesel E. Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature. J Cardiothorac Surg 2009 Feb;4:11.
  4. Komeda M, David TE. Surgical treatment of postinfarction false aneurysm of the left ventricle. J Thorac Cardiovasc Surg 1993 Dec;106(6):1189-1191.
  5. Burns CA, Paulsen W, Arrowood JA, Tolman DE, Rose B, Fabian JA, Spratt JA. Improved identification of posterior left ventricular pseudo-aneurysms by transesophageal echocardiography. Am Heart J 1992 Sep;124(3):796-799.
  6. Esakof DD, Vannan MA, Pandian NG, Cao QL, Schwartz SL, Bojar RM. Visualization of left ventricular pseudoaneurysm with panoramic transesophageal echocardiography. J Am Soc Echocardiogr 1994 Mar-Apr;7(2):174-178.
  7. Becker AE, van Mantgem JP. Cardiac tamponade. A study of 50 hearts. Eur J Cardiol 1975 Dec;3(4):349-358.
  8. Becker RC, Gore JM, Lambrew C, Weaver WD, Rubison RM, French WJ, Tiefenbrunn AJ, Bowlby LJ, Rogers WJ. A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol 1996 May;27(6):1321-1326.
  9. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998 Sep;32(3):557-561.
  10. Pretre R, Linka A, Jenni R, Turina MI. Surgical treatment of acquired left ventricular pseudoaneurysm. Ann Thorac Surg 2000 Aug;70(2):53-57.
  11. Roberts WC, Morrow AG. Pseudoaneurysm of the left ventricle. An unusual sequel of myocardial infarction and rupture of the heart. Am J Med 1967 Oct;43(4):639-644.
  12. Rogers JH, De Oliveira NC, Damiano RJ Jr, Rogers JG. Left ventricular apical pseudoaneurysm. Circulation 2002 Feb;105(8):e51-e52.
  13. Hung MJ, Wang CH, Cherng WJ. Unruptured left ventricular pseudoaneurysm following myocardial infarction. Heart 1998 Jul;80(1):94-97.
  14. Chirillo F, Cavarzerani A, Ius P, Totis O, Bruni A, Valfrè C, Stritoni P. Role of transthoracic, transesophageal, and transgastric two-dimensional and colour Doppler echocardiography in the evaluation of mechanical complications of acute myocardial infarction. Am J Cardiol 1995 Oct;76(11): 833-836.
  15. Cacciapuoti F, Tirelli P, Cacciapuoti F. Left ventricular postinfarction pseudoaneurysm: diagnostic advantages of three-dimensional echocardiography. J Cardiovasc Echogr 2017 Apr-Jun;27(2):74-76.
  16. Reeves ST, Glas KE, Eltzschig H, Mathew JP, Rubenson DS, Hartman GS, Shernan SK; American Society of Echocardiography; Society of Cardiovascular Anesthesiologists. Guidelines for performing a comprehensive epicardial echocardiography examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 2007 Apr;20(4):427-437.
  17. Kerber RE, Pesek-Bird C. Could cardiac magnetic resonance imaging replace cardiac ultrasound? Challenges from the echocardiography laboratory. J Cardiovasc Magn Reson 2002;4(2):289-290.
  18. Maltais S, Ibrahim R, Basmadjian AJ, Carrier M, Bouchard D, Cartier R, Demers P, Ladouceur M, Pellerin M, Perrault LP. Postinfarction ventricular septal defects: towards a new treatment algorithm? Ann Thorac Surg 2009 Mar;87(3):687-692.
  19. Daggett WM, Guyton RA, Mundth ED, Buckley MJ, McEnany MT, Gold HK, Leinbach RC, Austen WG. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg 1977 Sep;186(3):260-271.
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