Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review
Right ventricular (RV) aneurysm is a very rare ventricular lesion. An aneurysm is formed mainly as a complication of myocardial infarction (MI). As an RV aneurysm is a potentially life-threatening occurrence, its appropriate diagnosis is of great significance. However, right-sided heart diseases, es...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/13/13/2194 |
| _version_ | 1797591938143092736 |
|---|---|
| author | Mohammadbagher Sharifkazemi Zahra Rahnamun Zehra Jumana Shahdad Khosropanah |
| author_facet | Mohammadbagher Sharifkazemi Zahra Rahnamun Zehra Jumana Shahdad Khosropanah |
| author_sort | Mohammadbagher Sharifkazemi |
| collection | DOAJ |
| description | Right ventricular (RV) aneurysm is a very rare ventricular lesion. An aneurysm is formed mainly as a complication of myocardial infarction (MI). As an RV aneurysm is a potentially life-threatening occurrence, its appropriate diagnosis is of great significance. However, right-sided heart diseases, especially RV aneurysms, have been neglected for years. Recent studies in the literature have elucidated the role of the right side of the heart in patients’ prognosis and response to treatment. However, RV aneurysm has been scarcely investigated, and most of the attention has been given to the left ventricular aneurysm in patients with ischemic heart diseases (IHD). Herein, we investigated a total of 625 patients with IHD referred for two-dimensional transthoracic echocardiography (2D TTE), among whom 18 were diagnosed with RV aneurysms through precise examination of several TTE views. The characteristics of these cases, including demographics, medical history, and results of cardiac tests (which the patients underwent previously), were recorded and presented. This study emphasized the importance of performing a meticulous 2D TTE evaluation and a thorough examination of different views by an expert echocardiographer, with special attention to the presence of an RV aneurysm in a patient suffering from IHD who presented either with acute coronary syndrome, including MI, or chronic IHD. The scarcity of information, especially in terms of complications and the most appropriate diagnostic methods, calls for further studies in this regard. |
| first_indexed | 2024-03-11T01:44:41Z |
| format | Article |
| id | doaj.art-ebcc00d54bbc491687e2a4a8786d56f6 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T01:44:41Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-ebcc00d54bbc491687e2a4a8786d56f62023-11-18T16:21:19ZengMDPI AGDiagnostics2075-44182023-06-011313219410.3390/diagnostics13132194Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature ReviewMohammadbagher Sharifkazemi0Zahra Rahnamun1Zehra Jumana2Shahdad Khosropanah3Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz 71364, IranCardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran 31911, IranNemazee Hospital, Shiraz University of Medical Sciences, Shiraz 71364, IranNemazee Hospital, Shiraz University of Medical Sciences, Shiraz 71364, IranRight ventricular (RV) aneurysm is a very rare ventricular lesion. An aneurysm is formed mainly as a complication of myocardial infarction (MI). As an RV aneurysm is a potentially life-threatening occurrence, its appropriate diagnosis is of great significance. However, right-sided heart diseases, especially RV aneurysms, have been neglected for years. Recent studies in the literature have elucidated the role of the right side of the heart in patients’ prognosis and response to treatment. However, RV aneurysm has been scarcely investigated, and most of the attention has been given to the left ventricular aneurysm in patients with ischemic heart diseases (IHD). Herein, we investigated a total of 625 patients with IHD referred for two-dimensional transthoracic echocardiography (2D TTE), among whom 18 were diagnosed with RV aneurysms through precise examination of several TTE views. The characteristics of these cases, including demographics, medical history, and results of cardiac tests (which the patients underwent previously), were recorded and presented. This study emphasized the importance of performing a meticulous 2D TTE evaluation and a thorough examination of different views by an expert echocardiographer, with special attention to the presence of an RV aneurysm in a patient suffering from IHD who presented either with acute coronary syndrome, including MI, or chronic IHD. The scarcity of information, especially in terms of complications and the most appropriate diagnostic methods, calls for further studies in this regard.https://www.mdpi.com/2075-4418/13/13/2194heart ventriclestwo-dimensional Echocardiographyright ventricular aneurysm |
| spellingShingle | Mohammadbagher Sharifkazemi Zahra Rahnamun Zehra Jumana Shahdad Khosropanah Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review Diagnostics heart ventricles two-dimensional Echocardiography right ventricular aneurysm |
| title | Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review |
| title_full | Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review |
| title_fullStr | Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review |
| title_full_unstemmed | Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review |
| title_short | Two-Dimensional Transthoracic Echocardiography-Based Diagnosis of Right Ventricular Aneurysm: A Neglected Issue in Patients with Coronary Artery Disease: Case Series and Literature Review |
| title_sort | two dimensional transthoracic echocardiography based diagnosis of right ventricular aneurysm a neglected issue in patients with coronary artery disease case series and literature review |
| topic | heart ventricles two-dimensional Echocardiography right ventricular aneurysm |
| url | https://www.mdpi.com/2075-4418/13/13/2194 |
| work_keys_str_mv | AT mohammadbaghersharifkazemi twodimensionaltransthoracicechocardiographybaseddiagnosisofrightventricularaneurysmaneglectedissueinpatientswithcoronaryarterydiseasecaseseriesandliteraturereview AT zahrarahnamun twodimensionaltransthoracicechocardiographybaseddiagnosisofrightventricularaneurysmaneglectedissueinpatientswithcoronaryarterydiseasecaseseriesandliteraturereview AT zehrajumana twodimensionaltransthoracicechocardiographybaseddiagnosisofrightventricularaneurysmaneglectedissueinpatientswithcoronaryarterydiseasecaseseriesandliteraturereview AT shahdadkhosropanah twodimensionaltransthoracicechocardiographybaseddiagnosisofrightventricularaneurysmaneglectedissueinpatientswithcoronaryarterydiseasecaseseriesandliteraturereview |