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CASE REPORT
Year : 2016  |  Volume : 17  |  Issue : 4  |  Page : 154-158

Abnormal color flow signal traversing the myocardial wall: Not everything is what it appears to be


1 Division of Cardiovascular Medicine, University of Pittsburgh Cardiovascular Institute, Pittsburgh, PA, USA
2 Division of Cardiovascular Medicine, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico, USA

Correspondence Address:
Angel López-Candales
Division of Cardiovascular Medicine, School of Medicine, University of Puerto Rico, Medical Sciences Building, PO Box 365067, San Juan, Puerto Rico 00936-5067
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.201782

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A case of a patient presenting with an acute myocardial infarction is presented. A transthoracic echocardiographic examination revealed an abnormal color flow signal that traversed the myocardial wall from a large inferior aneurysm and initially considered to be a ventricular septal defect. However, further echocardiographic manipulation utilizing modified views along with sequential injections of both agitated saline and Definity® proved very useful to identify a pseudoaneurysm. There was no further need for any other diagnostic test, and the patient was treated surgically, undergoing successful repair of the pseudoaneurysm as well as coronary artery bypass grafting of the left coronary artery.


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