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

Little SH, Ramasubbu K, Zoghbi WA

Methodist DeBakey Heart Center Echocardiography Laboratory, Houston, Texas 77030, USA.

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.

Published 8 May 2007 in J Am Soc Echocardiogr, 20(5): 538.e1-3.
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