Real-time 3-dimensional echocardiography demonstrates size and extent of acute left ventricular free wall rupture

J Am Soc Echocardiogr. 2007 May;20(5):538.e1-3. doi: 10.1016/j.echo.2006.11.009.


We describe a patient with acute left ventricular wall rupture and pseudoaneurysm formation after myocardial infarction. We review the accuracy of 2-dimensional transthoracic echocardiography for detection of ventricular pseudoaneurysm and describe the use of real-time handheld 3-dimensional color Doppler echocardiography for the assessment of left ventricular rupture location, orifice geometry, and complex intracardiac flow before surgical correction.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging
  • Diagnosis, Differential
  • Echocardiography, Doppler
  • Echocardiography, Three-Dimensional / methods*
  • Fatal Outcome
  • Heart Aneurysm / complications
  • Heart Aneurysm / diagnostic imaging
  • Heart Rupture, Post-Infarction / complications
  • Heart Rupture, Post-Infarction / diagnostic imaging*
  • Heart Rupture, Post-Infarction / physiopathology
  • Humans
  • Male
  • Myocardial Contraction / physiology
  • Pericardial Effusion / diagnostic imaging
  • Pericardial Effusion / etiology
  • Pericardial Effusion / physiopathology