PMC6333063_01
Electrocardiography revealed a normal sinus rhythm with mild ST-segment elevation in V1 and depression in V3-V6
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Electrocardiography revealed a normal sinus rhythm with mild ST-segment elevation in V1 and depression in V3-V6 (Figure 1), and chest X-ray demonstrated an increased cardiac silhouette. TEE revealed a large aneurysm adjacent to the left atrium (LA; Figure 2, Movie S1). The aneurysm arose between the mitral and aortic valve annuli and extended behind the ascending aorta. Color Doppler flow imaging demonstrated systolic flow into the aneurysm with the evidence of continuity with the LV (Figure 2, Movie S1).
A, Transesophageal echocardiographic image (long-axis view) of the left ventricular outflow tract showing a left ventricular aneurysm adjacent to the left atrium. B, Transesophageal echocardiographic image, same view as in image A, but with color-flow Doppler added. Flow is clearly seen from the left ventricle to the aneurysm. A-Ao, ascending aorta; AV, aortic valve; LA, left atrium; LV, left ventricle; MV, mitral valve
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TEE revealed a large aneurysm adjacent to the left atrium (LA; Figure 2, Movie S1). The aneurysm arose between the mitral and aortic valve annuli and extended behind the ascending aorta. Color Doppler flow imaging demonstrated systolic flow into the aneurysm with the evidence of continuity with the LV (Figure 2, Movie S1). There was also a calcified bicuspid aortic valve (Figure 3, Movie S2).
Transesophageal echocardiographic image (short-axis view) of the aortic valve showing a left ventricular aneurysm lateral to the left atrium and calcified bicuspid aortic valve. AV, aortic valve; LA, left atrium; RA, right atrium; RV, right ventricle
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There was also a calcified bicuspid aortic valve (Figure 3, Movie S2).