PMC8313320_01
Parasternal long axis view of contrast leaking into the pericardial space on echocardiogram.
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fig1
Incidentally, contrast TTE also revealed a posterolateral pseudoaneurysm with contrast extending into the pericardial space concerning for left ventricular free wall rupture (Figure 1).
Cardiac magnetic resonance view of the contained left ventricle free wall rupture.
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fig2
Given her history of renal transplant and worsening renal function, cardiac magnetic resonance was performed instead of a CT angiogram which confirmed a contained left ventricle free wall rupture (Figure 2).
3D transesophageal echocardiogram of the normally functioning mechanical mitral valve at 60 degrees following treatment with tPA.
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fig3
TEE showing a normally functioning mechanical mitral valve with a mean gradient across the valve of 5 mmHg. There was no evidence of thrombus and the left ventricle posterior wall pseudoaneurysm was unchanged (Figures 3 and 4).
3D transesophageal echocardiogram of the normally functioning mechanical mitral valve at 125 degrees following treatment with tPA.
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fig4
TEE showing a normally functioning mechanical mitral valve with a mean gradient across the valve of 5 mmHg. There was no evidence of thrombus and the left ventricle posterior wall pseudoaneurysm was unchanged (Figures 3 and 4).