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Tytuł oryginału:
The contribution of non-invasive imaging modalities to the diagnosis of left ventricular pseudoaneurysm.
Tytuł polski:
Udział nieinwazyjnych metod obrazowania w diagnostyce tętniaka rzekomego lewej komory.
Autorzy:
Popescu
Bogdan A.,
Ginghina
Carmen,
Coman
Ioan M.,
Stoian
Ioana,
Stoica
Adina,
Stanescu
Dan,
Georgescu
Serban Al.,
Fotiade
Bradu,
Apetrei
Eduard
Źródło:
Prz. Lek. 2002: 59 (8) s.642-645, il., bibliogr. 14 poz.
Sygnatura GBL:
310,563
Hasła klasyfikacyjne GBL:
kardiologia
radiologia
Typ dokumentu:
praca kliniczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
płeć męska
płeć żeńska
Streszczenie angielskie:
Background: Left ventricular pseudoaneurysm (LVPA) is a rare entity characterized by a tendency to spontaneous rupture due to its morphology, a lack to myocardial fibers and fibrous tissue delineating the cavity. An early diagnosis is essential in order to guide appropriate therapy. Purpose: To determine the diagnostic accuracy of different imaging techniques, treatment results, and prognosis of patients (pts) with LVPA. Methods: We evaluated the incidence of LVPA during a five-year period. The initial clinical presentation, the etiology of LVPA, time between symptom onset and diagnosis, and use of various non-invasive techniques were studied. Mean follow-up was 15 months. Results: Of 19113 pts admitted to our Institute in a five-year period, LVPA was diagnosed in 11 pts (o.or p.c.) (mean age 51 ń 3.9 years, 8 men). The diagnosis of LVPA was confirmed by surgery in 4 pts, and by pathology in 2 pts. LVPA was and incidental finding in one asymptomatic pt, it was diagnosed in 6 pts presenting with an acute myocardial infarction (AMI) and in 4 pts presenting with LV failure. The main etiology was coronary artery disease (CAD) (9 pts), with the remaining 2 cases being post-traumatic (thoracic stab wound, surgery). LVPA location was postero-inferior in 6 patients infero-lateral in 3 patients, and anterior in 2 patients. ECG, X-ray and TTE were performed in all cases. 6 pts had a radionuclide angiography (RNA), 3 pts had a computed tomography (CT) scan and 2 pts had a magnetic resonance imaging (MRI) study. Two-dimensional transthoracic echocardiography (TTE) provided information regarding LVPA...
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