Disappearance of a left ventricular aneurysm on radionuclide ventriculography due to formation of a mural thrombus

C. Reimers, A. Van Tosh, M. Berger, E. Luna, S. F. Horowitz

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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 languageEnglish
Pages (from-to)946-947
Number of pages2
JournalChest
Volume104
Issue number3
DOIs
StatePublished - 1993
Externally publishedYes

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