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Articles of General Interest

Value and limitations of cross-sectional echocardiography in the diagnosis of myocardial aneurysm

Shérif El-Tobgi, M.D., Ernesto E. Salcedo, M.D. and Floyd D. Loop, M.D.
Cleveland Clinic Journal of Medicine June 1983, 50 (2) 231-236;
Shérif El-Tobgi
Department of Cardiology, The Cleveland Clinic Foundation.
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Ernesto E. Salcedo
Department of Cardiology, The Cleveland Clinic Foundation.
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Floyd D. Loop
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation.
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ABSTRACT

Cross-sectional echocardiography has been proposed as a useful technique for the diagnosis of ventricular aneurysm. To evaluate and compare its ability to differentiate aneurysm from mural scar, echocardiograms and ventriculograms were obtained in 54 patients. Thirty-seven of these patients subsequently underwent cardiac surgery and 17 had resection of a ventricular aneurysm. Diagnosis at surgery of true aneurysm versus mural scar was used to compare the accuracy of the two diagnostic techniques. Ventriculography correctly identified 16 of 17 patients (94%) who proved to have ventricular aneurysm at surgery; false-positive diagnosis was made in 3 of 37 patients (8%). Cross-sectional echocardiography was accurate in 13 of 17 cases of ventricular aneurysm (76%) and in 13 of 15 patients with anteroapical aneurysm (87%). The 2 cases of diaphragmatic ventricular aneurysm were mistaken for mural scar. A false-positive diagnosis was observed in 8%. We conclude that cross-sectional echocardiography is slightly less sensitive than ventriculography in the diagnosis of left ventricular aneurysm; both methods have a similar specificity. Echocardiography may be useful in complementing the angiographic diagnosis.

Index terms
  • Aneurysm
  • ventricular
  • Heart
  • ultrasound studies
  • Received November 1982.
  • Accepted February 1983.
  • Copyright © 1983 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 50 (2)
Cleveland Clinic Journal of Medicine
Vol. 50, Issue 2
20 Jun 1983
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Value and limitations of cross-sectional echocardiography in the diagnosis of myocardial aneurysm
Shérif El-Tobgi, Ernesto E. Salcedo, Floyd D. Loop
Cleveland Clinic Journal of Medicine Jun 1983, 50 (2) 231-236;

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Value and limitations of cross-sectional echocardiography in the diagnosis of myocardial aneurysm
Shérif El-Tobgi, Ernesto E. Salcedo, Floyd D. Loop
Cleveland Clinic Journal of Medicine Jun 1983, 50 (2) 231-236;
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Keywords

  • Aneurysm
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