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. 1999 Sep;82(3):393–394. doi: 10.1136/hrt.82.3.393

Left ventricular pseudoaneurysm complicating infective pericarditis

A Moraes 1, A Ferreira 1, S Ferreira 1
PMCID: PMC1729168  PMID: 10455097

Abstract

Cross sectional echocardiography demonstrated a pseudoaneurysm of the left ventricular posterolateral wall close to the atrioventricular junction in a 4 year old girl with infective pericarditis complicating lobar pneumonia. Colour flow Doppler demonstrated bidirectional flow across the communication hole. Surgical resection was successful.


Keywords: pseudoaneurysm; pericarditis; echocardiography

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Figure 1  .

Figure 1  

Cross sectional echocardiography (apical four chamber view) showing large pericardial effusion and the communication between the left ventricle and the pseudoaneurysm (arrow). VE, left ventricle; VD, right ventricle; AE, left atrium; AD, right atrium.

Figure 2  .

Figure 2  

Colour flow mapping and pulsed Doppler recording at the origin of the pseudoaneurysm (arrow). VE, left ventricle; AE, left atrium.

Figure 3  .

Figure 3  

Left ventriculogram in the left anterior oblique view showing a large aneurysm of the posterolateral wall (arrows).


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