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Luciano A, Luigi S, Mancuso L, Vito D, De Stasio V, Pugliese L, Donna CD, Garaci F, Floris R, Chiocchi M. Incidental findings of acute myocardial infarction detected during ECG-gated and nongated thoracic CTA: A report of four cases. Radiol Case Rep 2023; 18:2567-2573. [PMID: 37255698 PMCID: PMC10225819 DOI: 10.1016/j.radcr.2023.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/11/2023] [Accepted: 04/12/2023] [Indexed: 06/01/2023] Open
Abstract
Worldwide, myocardial infarction is a leading cause of mortality and disability. The phrase ``myocardial infarction'' refers to ischemia, which is the outcome of an imbalance in perfusion between supply and demand and results in the death of cardiac myocytes Myocardial ischemia is often diagnosed based on the patient's medical history and electrocardiogram (ECG) findings. Potential ischemic symptoms include a variety of chest, upper extremity, jaw, or epigastric pain or discomfort that typically lasts at least 20 minutes, is diffuse, not positional, not localized, not dependent on movement of the area, and may be accompanied by syncope, dyspnea, or nausea. These symptoms can occur at rest or after physical activity. These symptoms may be mistaken for other conditions since they are not specific to myocardial ischemia. Radiologists play a crucial role in this scenario since imaging is increasingly being used to identify and categorize these individuals. We report 4 cases of myocardial infarction presenting without chest pain and discovered incidentally during imaging tests.
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Chiocchi M, Luciano A, De Stasio V, Pugliese L, Di Donna C, Cerocchi M, Gigliotti P, Carini A, Chirico F, Camedda R, Di Biagio D, Sbordone PF, Garaci F, Floris R. Radiological findings in Erdheim Chester disease: A very rare multisistemic disease. Radiol Case Rep 2023; 18:2047-2054. [PMID: 37006835 PMCID: PMC10060088 DOI: 10.1016/j.radcr.2023.02.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 02/26/2023] [Indexed: 03/28/2023] Open
Abstract
Erdheim-Chester disease is an uncommon non-Langerhans cell histiocytosis affecting multiple systems. There is limited knowledge on the imaging capabilities of this disease. We present an extremely rare case of Erdheim-Chester illness in a 67-year-old man with multisystem involvement, including the cardiovascular system, skeleton, retroperitoneum (renal and adrenal infiltration) and the neurologic system. The involvement of the various organs was thoroughly assessed using multimodal imaging modalities such as computed tomography, magnetic resonance imaging, positron emission tomography and bone scintigraphy. Erdheim-Chester illness was revealed by a bone biopsy. Especially when there is cardiac and cerebral involvement, Erdheim-Chester illness is a rare condition with a poor prognosis. Knowing the imaging characteristics of Erdheim-Chester disease may be helpful in understanding the radiological results of many organs affected by the disease as described and discussed in the current case report.
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Affiliation(s)
- Marcello Chiocchi
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Alessandra Luciano
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
- Corresponding author.
| | - Vincenzo De Stasio
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Luca Pugliese
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Carlo Di Donna
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Martina Cerocchi
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Paola Gigliotti
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Alessandro Carini
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Flavia Chirico
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Riccardo Camedda
- Department of Diagnostic Oncoematology and Nuclear Medicine, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Daniele Di Biagio
- Department of Diagnostic Oncoematology and Nuclear Medicine, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Paolo Francesco Sbordone
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Francesco Garaci
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
| | - Roberto Floris
- Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
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Varela Barca L, Calderón Romero P, Sánchez-Aquino R, Donado Miñambres A, Hernández-Estefanía R, Sanz Mayordomo P, Aldámiz-Echevarría G. Coronary pseudoaneurysm after Bentall-Bono intervention: A novel treatment to a rare surgery complication. J Cardiol Cases 2022; 26:157-160. [DOI: 10.1016/j.jccase.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 04/01/2022] [Accepted: 04/17/2022] [Indexed: 11/26/2022] Open
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