Case 006 - Echocardiogram Following Percutaneous Myocardial Laser...
64-year-old female with refractory angina and diffuse 3-vessel disease in whom percutaneous myocardial laser revascularization was attempted. During the procedure the patient developed severe angina, hypotension, and ST-T wave elevations in the anterolateral leads. Echocardiography was performed in the cath lab.

Echocardiography shows:

1. 
   Pericardial effusion and anterolateral dyskinesia.
   
2. 
   Partial papillary muscle rupture.
   
3. 
   Pseudoaneurysm.
   
4. 
   Intramural cavity in the anterolateral region and dyskinesia.
   

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<p>Intramural cavity in the anterolateral region and dyskinesia.</p>


Transcutaneous laser revascularization resulted in:

1. 
   Myocardial rupture.
   
2. 
   Myocardial infarction (anterolateral).
   
3. 
   Intramural hematoma.
   
4. 
   Pseudoaneurysm formation.
   

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<p>Intramural hematoma.</p>