Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be

A case of a patient presenting with an acute myocardial infarction is presented. A transthoracic echocardiographic examination revealed an abnormal color flow signal that traversed the myocardial wall from a large inferior aneurysm and initially considered to be a ventricular septal defect. However,...

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Main Authors: Kathy Edelman, Angel López-Candales
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Heart Views
Subjects:
Online Access:http://www.heartviews.org/article.asp?issn=1995-705X;year=2016;volume=17;issue=4;spage=154;epage=158;aulast=Edelman
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author Kathy Edelman
Angel López-Candales
author_facet Kathy Edelman
Angel López-Candales
author_sort Kathy Edelman
collection DOAJ
description A case of a patient presenting with an acute myocardial infarction is presented. A transthoracic echocardiographic examination revealed an abnormal color flow signal that traversed the myocardial wall from a large inferior aneurysm and initially considered to be a ventricular septal defect. However, further echocardiographic manipulation utilizing modified views along with sequential injections of both agitated saline and Definity® proved very useful to identify a pseudoaneurysm. There was no further need for any other diagnostic test, and the patient was treated surgically, undergoing successful repair of the pseudoaneurysm as well as coronary artery bypass grafting of the left coronary artery.
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spelling doaj.art-6b513f0c83eb457e9df15d895018e7752022-12-21T23:43:40ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2016-01-0117415415810.4103/1995-705X.201782Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to beKathy EdelmanAngel López-CandalesA case of a patient presenting with an acute myocardial infarction is presented. A transthoracic echocardiographic examination revealed an abnormal color flow signal that traversed the myocardial wall from a large inferior aneurysm and initially considered to be a ventricular septal defect. However, further echocardiographic manipulation utilizing modified views along with sequential injections of both agitated saline and Definity® proved very useful to identify a pseudoaneurysm. There was no further need for any other diagnostic test, and the patient was treated surgically, undergoing successful repair of the pseudoaneurysm as well as coronary artery bypass grafting of the left coronary artery.http://www.heartviews.org/article.asp?issn=1995-705X;year=2016;volume=17;issue=4;spage=154;epage=158;aulast=EdelmanContrast agentsechocardiographymyocardial infarctionpseudoaneurysm
spellingShingle Kathy Edelman
Angel López-Candales
Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
Heart Views
Contrast agents
echocardiography
myocardial infarction
pseudoaneurysm
title Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
title_full Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
title_fullStr Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
title_full_unstemmed Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
title_short Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be
title_sort abnormal color flow signal traversing the myocardial wall not everything is what it appears to be
topic Contrast agents
echocardiography
myocardial infarction
pseudoaneurysm
url http://www.heartviews.org/article.asp?issn=1995-705X;year=2016;volume=17;issue=4;spage=154;epage=158;aulast=Edelman
work_keys_str_mv AT kathyedelman abnormalcolorflowsignaltraversingthemyocardialwallnoteverythingiswhatitappearstobe
AT angellopezcandales abnormalcolorflowsignaltraversingthemyocardialwallnoteverythingiswhatitappearstobe