Application of left echography in the diagnosis of false ventricular aneurysm and mural thrombus
Objective To evaluate the value of left echography(LVO)in the diagnosis of false ventricular aneurysm complicated with mural thrombus.Methods The clinical data of 10 patients with suspected pseudoventricular aneurysm examined by thoracic echocardiography(TTE)in Wuhan Asian Heart Hospital from January 2018 to March 2024 were retrospectively analyzed.All patients underwent LVO examination to further diagnose pseudoventricular tumor and whether it was complicated with mural thrombosis.Computed tomography angiography(CTA)or cardiac magnetic resonance(CMR)examination was used as the gold standard to analyze the diagnostic value of LVO in the diagnosis of pseudoventricular tumor.Results Among the 10 suspected pseudoventricular tumors examined by TTE,LVO detected 6 cases of left ventricular pseudoaneurysm and 1 case of right ventricular pseudoaneurysm;CTA confirmed that 6 cases of left ventricular pseudoaneurysm detected by LVO were correctly diagnosed,1 case of right ventricular pseudoaneurysm was misdiagnosed,CMR diagnosed right ventricular diverticula,LVO diagnosis accuracy was 6/7,and 4 cases of thrombi were detected.The detection rate was 4/4.The maximum transverse diameter of the tumor body of the communicating mouth/false ventricular aneurysm was 0.46±0.04.1 patient underwent coronary artery bypass grafting and resection of false ventricular aneurysm.1 patient underwent coronary artery interventional stent surgery;4 routine conservative drug treatment,follow-up observation;One case of right ventricular diverticulum did not require special treatment.Conclusions LVO contrast agent can clearly show the tumor body and location,measure the tumor entrance and size,and show mural thrombus.It is the first choice for the identification of false ventricular tumor.The diverticula was similar to the image of false ventricular aneurysm,and the sensitivity and specificity of right ventricular wall motion were higher in CMR than in LVO.
万方数据
维普
