Abstract
Radionuclide ventriculography is an accepted method for diagnosing left ventricular aneurysms, but false-negative studies have been associated with a mural thrombus filling the left ventricular cavity. We describe a patient with a left ventricular aneurysm due to myocardial infarction whose aneurysm scintigraphically 'disappeared' from serial radionuclide ventriculograms. This was documented echocardiographically and pathologically to be due to the formation of a large mural thrombus. Review of the literature suggests that radionuclide ventriculography and echocardiography may be complementary techniques in the diagnosis of left ventricular aneurysm. Echocardiography may remain diagnostic when a mural thrombus has caused the loss of the characteristic scintigraphic findings on radionuclide ventriculography.
| Original language | English |
|---|---|
| Pages (from-to) | 946-947 |
| Number of pages | 2 |
| Journal | Chest |
| Volume | 104 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1993 |
| Externally published | Yes |