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- W85366334 abstract "An 80-year-old asymptomatic man who had experienced an inferior myocardial infarction 2 years earlier was admitted for preoperative cardiovascular evaluation in preparation for noncardiac surgery. His blood pressure was 140/80 mmHg; his heart rate was 80 beats/min. His electrocardiogram indicated sinus rhythm, abnormal Q waves, and T-wave inversion in leads aVF, II, and III. Chest radiography showed cardiomegaly. Transthoracic echocardiography revealed left ventricular (LV) enlargement, a large (4.8 × 4.6 cm) inferolateral LV wall aneurysm (Fig. 1), and normal left atrial size. It also showed that the posterior mitral leaflet was tethered by its papillary muscle (Fig. 2). Transesophageal echocardiography (TEE) showed a large LV aneurysm that compressed the mitral annulus (Fig. 3); it also confirmed the papillary tethering (Fig. 4). Color-flow Doppler TEE showed minimal mitral regurgitation (MR). The neck of the aneurysm was wide, suggesting a true aneurysm.Fig. 1 Transthoracic echocardiography shows the inferolateral aneurysm. A = aneurysm; LA = left atrium; LV = left ventricleFig. 2 Transthoracic echocardiography shows that the posterior mitral leaflet is tethered by its papillary muscle. A = aneurysm; LA = left atrium; LV = left ventricle; X = posterior mitral leaflet Real-time motion images ...Fig. 3 Transesophageal echocardiography shows the inferolateral aneurysm. A = aneurysm; Ao = ascending aorta; LA = left atrium; LV = left ventricleFig. 4 Transesophageal echocardiography shows that the posterior mitral leaflet is tethered by its papillary muscle. A = aneurysm; Ao = ascending aorta; LA = left atrium; LV = left ventricle; X = posterior mitral ...The patient was given an angiotensin-converting enzyme inhibitor, a β-blocker, aspirin, and spironolactone. Because the patient was asymptomatic and elderly, surgical treatment of the aneurysm was not considered." @default.
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- W85366334 date "2007-01-01" @default.
- W85366334 modified "2023-09-26" @default.
- W85366334 title "Inferolateral left ventricular aneurysm preventing mitral regurgitation." @default.
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