"Pororo Ká". Paradoxical diastolic flow and left ventricular apical aneurysm. Apropos of a case
DOI:
https://doi.org/10.37615/retic.n5a9Keywords:
apical aneurysm, paradoxical diastolic ventricular flow, midventricular obstruction, coronary disease.Abstract
A 71-year-old male with mechanical aortic valve replacement evolves with progressive impairment of functional capacity. Transthoracic echocardiography showed dilatation and moderate systolic dysfunction of the left ventricle. An apical aneurysm with systolic influx to the aneurysmal cavity and diastolic paradoxic flow of the aneurysm to the midventricular region was found. This flow was counterposed to the passive diastolic filling of the left atrium. The identification of this alteration has a prognostic role in relation to the association with increased incidence of sudden death, thromboembolic events and impairment of functional capacity and left ventricular systolic function.
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Copyright (c) 2017 Germán Ramos G, Marcelo Potthoff, Mario Zapata, Manuel Rodríguez V, Sebastian Herrera T
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