PMC3385191_01
Transthoracic echocardiography in a parasternal long-axis view showing an aneurismal sac posterior to aorta (arrow)
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F1
Two-dimensional transthoracic echocardiogram (TTE) demonstrated a false aneurysm-like structure in the MAIF at the LVOT [Figure 1, Video 1].
Transthoracic echocardiography in an apical four-chamber view showing an aneurismal sac in LA with rupture (arrow) into LA with color Doppler showing a turbulent jet resulting in supra annular MR and valvular MR
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F2
Color Doppler examination showed a communication between the echo-free space and LVOT and a turbulent flow through the defect in the aneurysmal wall into the LA [Figure 2, Video 2] suggestive of supra-annular mitral regurgitation.
Transesophageal echocardiography in a four-chamber view showing aneurismal sac with neck (arrow) communicating with the LVOT
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F3
It demonstrated a large pseudoaneurysm of MAIF measuring 3.0 x 4.2 cm communicating with the LVOT through a narrow neck [Figure 3, Video 3] and also rupture in its wall [Figure 4, Video 4] resulting in communication between the LVOT and LA causing a large shunt.
Transesophageal echocardiography in four chamber view showing aneurismal sac in MAIF with rupture (arrow) into LA with color Doppler showing a turbulent jet resulting in supra-annular MR
HV-13-13-g004.jpg
PMC3385191_01_HV-13-13-g004.jpg
F4
It demonstrated a large pseudoaneurysm of MAIF measuring 3.0 x 4.2 cm communicating with the LVOT through a narrow neck [Figure 3, Video 3] and also rupture in its wall [Figure 4, Video 4] resulting in communication between the LVOT and LA causing a large shunt.