This is the case of a 67-year-old woman in cardiogenic shock after myocardial infarction with one pseudoaneurysm and ventricular septal defect (VSD): oblique arrangement, medial-anteroseptal to septo-apical (Fig. 1). After stabilization, it is repaired using a bovine patch. Echocardiographic controls confirm the presence of right ventricular (RV) dysfunction and persistent VSD with scarce diastolic refill of the pseudoaneurysm from the RV, and turbulent predominant systolic refill from the left ventricle (LV) draining into the RV through 2 different jets (Appendix B; video 1). The agitated saline echo testing confirms the presence of a discrete pseudoaneurysm refill from the RV and fast washout of it from the LV, as well as the passage of a few bubbles from the RV into the LV (Fig. 2; Appendix B; video 2). The severe right dysfunction present complicates any new repairs. Yellow arrow: pseudoaneurysm; green arrow: VSD; blue arrow: bubbles in the LV; red arrow: patch. Ultrasound views: apical 4/5 chambers and modified.
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.
© Clarivate Analytics, Journal Citation Reports 2022
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
See moreSNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
See more