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British Journal of Radiology (2007) 80, e209-e211
© 2007 British Institute of Radiology
doi: 10.1259/bjr/31646310

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Case report

Left ventricular pseudoaneurysm or diverticulum: differential diagnosis and dynamic evaluation by catheter left ventriculography and ECG-gated multidetector CT

E Ghersin, MD 1,4,5 A Kerner, MD 2 L Gruberg, MD 2,4 Y Bar-El, MD 3,4 S Abadi, MD 1 and A Engel, MD 1,4

Departments of 1 Diagnostic Imaging, 2 Cardiology and 3 Cardiac Surgery, Rambam Health Care Campus, B Rappaport School of Medicine, 4 Technion-Israel Institute of Technology, Haifa, Israel, 5 Leonard M Miller School of Medicine, University of Miami, Miami, FL, USA

Correspondence: Dr Eduard Ghersin, Department of Diagnostic Radiology, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel. E-mail: e_ghersin{at}rambam.health.gov.il

We present a case report of the findings of a left ventricular diastolic out pouching in a patient following acute myocardial infarction diagnosed by catheter left ventriculography and electrocardiography (ECG)-gated multidetector computed tomography (MDCT) findings. Left ventriculography demonstrated a small left ventricular diastolic out pouching, while MDCT enabled accurate evaluation of both left ventricular myocardium and lumen, establishing the diagnosis of an intramural small left ventricular pseudoaneurysm. This case illustrates the full capabilities of MDCT in the evaluation of left ventricular pseudoaneurysms.







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