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Detection of a False Left Ventricular Aneurysm by First-pass Radionuclide Ventriculography

St. Bartholomew's Hospital, London, England

Correspondence: For reprints contact: D. S. Dymond, Dept. of Cardiology, St. Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, England.

ABSTRACT

A false left ventricular aneurysm complicating an inferior myocardial infarction was successfully identified by computerized first-pass radionuclide ventriculography using a multicrystal gamma camera. The aneurysmal chamber exhibited paradoxical systolic expansion, a pattern of contraction confirmed by contrast cineangiography. Because of the propensity of false aneurysms to rupture, early noninvasive firm diagnosis is desirable and may be accomplished by first-pass radionuclide angiography.