Title of article :
Left ventricular outpouching - A challenging diagnosis
Author/Authors :
Maria Chitroceanu, Alexandra Department of Cardiology - University and Emergency Hospital - Bucharest - Romania , Cristina Rimbas, Roxana Departments of Cardiology - University and Emergency Hospital - University of Medicine and Pharmacy Carol Davila - Bucharest - Romania , Ioana Nicula, Alina Departments of Radiology - University and Emergency Hospital - University of Medicine and Pharmacy Carol Davila - Bucharest - Romania , Vinereanu, Dragos Departments of Cardiology - University and Emergency Hospital - University of Medicine and Pharmacy Carol Davila - Bucharest - Romania
Abstract :
Under conditions of acute myocardial infarction (AMI), left
ventricular outpouching (LVO) detection requires emergency differential diagnosis because the outcome of LVOs differs substan- tially. Differentiation among different types of LVOs is challenging
considering the overlapping diagnostic criteria.
We report the case of a 63-year-old woman who was admitted with AMI and cardiogenic shock, with onset of symptoms 24 hours prior to admission. ECG findings showed left
bundle branch block. Transthoracic echocardiography (TTE) revealed markedly impaired left ventricular (LV) ejection fraction
(LVEF=15%), extremely dilated LV, global hypokinesia, and thin
circumferential pericardial effusion.
Keywords :
left ventricular outpouching , dilated cardiomyopathy , pseudoaneurysm , myocardial cleft
Journal title :
The Anatolian Journal of Cardiology: Andolu Kardiyoloji Dergisi
