The usage of out patient contrast-enhanced echocardiography for definition and severity as-sessment of postinfarction left ventricular aneurism.

Bukhovets I.L., Maksimova A.S., Mikheev S.L., Kozlov B.N., Usov V.Yu.

Purpose. To evaluate the diagnostic abilities of contrast-enhanced echocardiography when used in postinfarction out-patients for better depiction of left ventricular structure as well as for reveal the extent of left ventricular aneurism.	Cardiology Research Institute, Tomsk National Research Medical Centre, Russian Academy of Sciences. Tomsk, Russia.

 

 

 

 

 

 

 

 

 

Materials and methods. A clinical case of second-generation ultrasonic contrast agent usage (™Sonoview) in an out-patient with left ventricular post-infarction aneurism is presented as example of ultrasonic contrast enhancement usage for the precise quantification of aneurisms and selection of patients for surgical treatment at the very first pre-hospital diagnostic study. Results. When carrying out routine ultrasonic study of the heart in the patient it was very difficult to precise the location of endocardial border, particularly in the apex, left ventricular volumes, extent of aneurism and location and dimensions of thrombus. When carrying out the heart ultrasonic study with contrast enhancement even in the out-patients study it is possible to visualise sharply the endocardial border, to measure precisely the voluumes and ejection fraction of the left ventricle and also extent of the aneurism and of the thrombotic mass, providing evidence for the surgical treatment of the pathology. Conclusion. Echocardiography with the contrast enhancement using second-generation agent (™Sonoview) significantly improves the quality of cardiac ultrasonic images and raises the diagnostic role of ultrasound in the primary out-patient study of cardiac post-infarction patients.

 

Keywords: Contrast-enhanced echocardiography, left ventricular trombosis, left ventricular aneurism.

 

Corresponding author:Bukhovets I.L., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: : : Bukhovets I.L., Maksimova A.S., Mikheev S.L., Kozlov B.N., Usov V.Yu. The usage of out patient contrast-enhanced echocardiography for definition and severity assessment of postinfarction left ventricular aneurism. REJR 2017; 7 (2):186-190. DOI:10.21569/2222-7415-2017-7-2-186-190./em>

Received: 17.04.2017 Accepted:15.05.2017