Ultrasound contrast imaging in diagnosis of left ventricle aneurysm with thrombosis

Aim: to study the possibility of use of contrast-enhanced echocardiography with SonoVue™ in evaluation of the left ventricle structural features. Here we present clinical case demonstrating the use of second generation ultrasound contrast agent for assessment of the structural features of the left ventricle in patients with coronary artery disease and post-infarction left ventricular aneurysm. In the course of routine ultrasound heart study, there was no clear definition of apical endocardial borders, of left ventricular volume, aneurysm, and the presence and size of the thrombus. Ultrasound contrast agent provided clear visualization of the endocardial borders, allowing for more accurate measurements of volumes, ejection fraction, and size and volume of thrombus. Echocardiography with contrast agents significantly improves the quality of ultrasound images and enhances the diagnostic role of noninvasive diagnostics.