Accuracy of two-dimensional echocardiography in the detection of aneurysms of the ventricular septum

Jesus M. Canale, David J. Sahn, Lilliam M. Valdes-Cruz, Hugh D. Allen, Stanley J. Goldberg, Theron W. Ovitt

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Eight children with angiographically proven aneurysm of the membranous ventricular septum (AVS) assoclated with ventricular septal defect were studied by real-time cross-sectional echocardiography. A curvilinear, sickle (dome-shaped), or irregular echo arising from the interventricular septum and bulging toward the right ventricle in systole was visualized in all patients. This finding was detected in 7 of 8 long axis views, 5 of 8 short axis views, 5 of 7 apex four-chamber views, and 4 of 7 subcostal four-chamber views. In addition, real-time cross-sectional echocardiographic studies were performed in 40 patients with angiographically proven membranous ventricular septal defect without AVS; in only one patient was the abnormal echo suggesting aneurysm of the ventricular septum detected in the long axis and apex four-chamber views. Our echo study suggests that two-dimensional echocardiography has acceptable specificity for the diagnosis of AVS.

Original languageEnglish (US)
Pages (from-to)255-259
Number of pages5
JournalAmerican heart journal
Volume101
Issue number3
DOIs
StatePublished - Mar 1981

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Canale, J. M., Sahn, D. J., Valdes-Cruz, L. M., Allen, H. D., Goldberg, S. J., & Ovitt, T. W. (1981). Accuracy of two-dimensional echocardiography in the detection of aneurysms of the ventricular septum. American heart journal, 101(3), 255-259. https://doi.org/10.1016/0002-8703(81)90186-1