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Engel-Rodriguez A, Escabi-Mendoza J, Molina-Lopez VH, Engel-Rodriguez N, Tiru-Vega M. A Case of Left Ventricular Pseudoaneurysm as a Complication of Late-Presenting ST-Segment Elevation Myocardial Infarction. Cureus 2024; 16:e60026. [PMID: 38854241 PMCID: PMC11162561 DOI: 10.7759/cureus.60026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2024] [Indexed: 06/11/2024] Open
Abstract
This case report delineates the clinical trajectory and management strategies of a 59-year-old Hispanic male diagnosed with a left ventricular pseudoaneurysm (LVPA) following a delayed presentation of ST-segment elevation myocardial infarction (STEMI), for which reperfusion treatment was not administered. Initially, an echocardiogram demonstrated an extensive anterolateral myocardial infarction, severe left ventricular systolic dysfunction, and an early-stage left ventricular apical aneurysm with thrombus, leading to the initiation of warfarin. Metabolic myocardial perfusion imaging via positron emission tomography indicated a substantial myocardial scar without viability, guiding the decision against revascularization. Post discharge, the patient, equipped with a wearable cardioverter defibrillator for sudden cardiac death prevention, experienced symptomatic ventricular tachycardia, which was resolved with defibrillator shocks. Subsequent imaging revealed an acute LVPA adjacent to the existing left ventricular aneurysm. Given the high surgical risk, conservative management was elected, resulting in thrombosis and closure of the pseudoaneurysm after two weeks. The patient eventually transitioned to home hospice, surviving an additional five months. This report underscores the complexities and therapeutic dilemmas in managing post-MI LVPA patients who are ineligible for surgical intervention.
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Affiliation(s)
| | - Jose Escabi-Mendoza
- Cardiovascular Disease, VA (Veterans Affairs) Caribbean Healthcare Systems, San Juan, PRI
| | | | | | - Marilee Tiru-Vega
- Internal Medicine, VA (Veterans Affairs) Caribbean Healthcare Systems, San Juan, PRI
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2
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Pirzada A, Styles K, Stewart R. Massive left ventricular pseudoaneurysm presenting as dysphagia: a case report. Eur Heart J Case Rep 2023; 7:ytac495. [PMID: 36727138 PMCID: PMC9879834 DOI: 10.1093/ehjcr/ytac495] [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: 04/06/2022] [Revised: 04/26/2022] [Accepted: 12/30/2022] [Indexed: 01/04/2023]
Abstract
Background Left ventricular pseudoaneurysm is a recognized, however, uncommon presentation of acute myocardial infarction in the current era. This is due to early reperfusion therapy for acute myocardial infarction. Left ventricular pseudoaneurysm after myocardial infarction can present in a variety of ways, including heart failure, chest pain, and dyspnoea. Case summary We present a case of a 61-year-old male who presented with extremely atypical symptoms of dysphagia and weight loss due to a massive left ventricular pseudoaneurysm. Transthoracic echocardiogram and computed tomography revealed a large pseudoaneurysm causing mass effect on multiple gastrointestinal organs. Organic causes for dysphagia and weight loss were ruled out by gastroscopy. Surgical management was carried out but was ultimately unsuccessful. Discussion Despite the heterogeneity in presentation for patients with left ventricular pseudoaneurysm, rapid diagnosis is important for management and prognosis. Diagnostic tools include transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging. Management is usually surgical; however, there is some debate in the literature regarding conservative vs. surgical management for chronic pseudoaneurysms. More data are needed to determine optimal management strategies and prognosis for patients with left ventricular pseudoaneurysms.
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Affiliation(s)
- Ashar Pirzada
- Corresponding author. Tel: +1 902 473 7044, Fax: +1 902 473 2434,
| | - Kim Styles
- Division of Cardiology, Department of Medicine, Dalhousie University, 1796 Summer St, Room 2132, Halifax Infirmary, Halifax, NS B3H 3A7, Canada
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3
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Rakha S, Elgamal MAF, Sobh DM, Elmarsafawy H. Left Ventricular Pseudoaneurysm: Unexpected Sequel of Tamponade-Complicated Infectious Pericarditis in Infancy. World J Pediatr Congenit Heart Surg 2023; 14:98-102. [PMID: 36214749 DOI: 10.1177/21501351221129984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Left ventricular pseudoaneurysm (LV-PsA) is a critical finding that could result in a fatal outcome. It may complicate myocardial infarction, cardiac surgery, trauma, or endocarditis but rarely follows pericarditis. We report a case of infectious pericarditis complicated by pericardial tamponade in an infant. After effusion drainage and medical therapy, a large LV-PsA was detected. Successful closure of the pseudoaneurysm᾽s neck was accomplished using a Gore-tex patch.
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Affiliation(s)
- Shaimaa Rakha
- Pediatric Cardiology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Mohamed-Adel F Elgamal
- Pediatric Cardiac Surgery Unit, Mansoura University Children's Hospital, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Donia M Sobh
- Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Hala Elmarsafawy
- Pediatric Cardiology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt.,68780Faculty of Medicine, New Mansoura University, New Mansoura, Egypt
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Malhotra P, Han D, Kwan AC, Skaf S, Siegel R, Trento A, Berman D. A Rare Case of Post-Mitral Valve Replacement Ventricular Pseudoaneurysm, Bioprosthetic Dehiscence, and Paravalvular Mitral Regurgitation. JACC Case Rep 2022; 4:449-454. [PMID: 35693907 PMCID: PMC9175202 DOI: 10.1016/j.jaccas.2022.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 02/22/2022] [Accepted: 02/22/2022] [Indexed: 11/22/2022]
Abstract
We present a rare case of a young patient who underwent a bioprosthetic mitral valve replacement and subsequently experienced a left ventricular pseudoaneurysm complicated by valve dehiscence and paravalvular mitral regurgitation, demonstrated by multimodality imaging and confirmed during surgical repair. (Level of Difficulty: Advanced.)
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5
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Pasala S, Pak K, Genovese L, Emaminia A. Left ventricular pseudoaneurysm in a young adult after non-ST elevation myocardial infarction. BMJ Case Rep 2022; 15:e244880. [PMID: 35351772 PMCID: PMC8966503 DOI: 10.1136/bcr-2021-244880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Swetha Pasala
- Department of Internal Medicine, Inova Fairfax Hospital, Annandale, Virginia, USA
| | - Kevin Pak
- Department of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA
| | - Leonard Genovese
- Department of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA
| | - Abbas Emaminia
- Division of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA
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6
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Cardiac Outpouchings: Definitions, Differential Diagnosis, and Therapeutic Approach. Cardiol Res Pract 2021; 2021:6792643. [PMID: 34567801 PMCID: PMC8463251 DOI: 10.1155/2021/6792643] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/30/2021] [Indexed: 02/06/2023] Open
Abstract
Background and Aims Cardiac outpouchings encounter a series of distinct congenital or acquired entities (i.e. aneurysms, pseudoaneurysms, diverticula, and herniations), whose knowledge is still poorly widespread in clinical practice. This review aims to provide a comprehensive overview focusing on definition, differential diagnosis, and prognostic outcomes of cardiac outpouchings, as well as further insights on therapeutic options, in order to assist physicians in the most appropriate decision-making. Methods The material reviewed was obtained by the following search engines: MEDLINE (PubMed), EMBASE, Google Scholar, and Clinical Trials databases, from January 1966 until March 2021. We searched for the following keywords (in title and/or abstract): (“cardiac” OR “heart”) AND (“outpouching” OR “outpouch” OR “aneurysm” OR “pseudoaneurysm” OR “false aneurysm” OR “diverticulum” OR “herniation”). Review articles, original articles, case series, and case reports with literature review were included in our search. Data from patients with congenital or acquired cardiac outpouchings, from prenatal to geriatric age range, were investigated. Results Out of the 378 papers initially retrieved, 165 duplicates and 84 records in languages other than English were removed. Among the 129 remaining articles, 76 were included in our research material, on the basis of the following inclusion criteria: (a) papers pertaining to the research topic; (b) peer-reviewed articles; (c) using standardized diagnostic criteria; and (d) reporting raw prevalence data. Location, morphologic features, wall motion abnormalities, and tissue characterization were found to have a significant impact in recognition and differential diagnosis of cardiac outpouchings as well as to play a significant role in defining their natural history and prognostic outcomes. Conclusions Careful recognition of cardiac outpouchings remains a diagnostic challenge in clinical practice. Due to a broad cluster of distinctive and heterogeneous entities, their knowledge and timely recognition play a pivotal role in order to provide the most appropriate clinical management and therapeutic approach.
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Nicolazzi J, Grizzard J, Kasirajan V, Ellenbogen K, Markley R. Left Ventricular Pseudoaneurysm Caused by Radiofrequency Catheter Ablation: From Diagnosis to Treatment With Multimodality Imaging. Circ Cardiovasc Imaging 2021; 14:e012820. [PMID: 34470471 DOI: 10.1161/circimaging.121.012820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Joseph Nicolazzi
- Division of Cardiology, Pauley Heart Center (J.N., K.E., R.M.), Virginia Commonwealth University, Richmond
| | - John Grizzard
- Department of Radiology (J.G.), Virginia Commonwealth University, Richmond
| | - Vigneshwar Kasirajan
- Division of Cardiothoracic Surgery, VCU Pauley Heart Center (V.K.), Virginia Commonwealth University, Richmond
| | - Kenneth Ellenbogen
- Division of Cardiology, Pauley Heart Center (J.N., K.E., R.M.), Virginia Commonwealth University, Richmond
| | - Roshanak Markley
- Division of Cardiology, Pauley Heart Center (J.N., K.E., R.M.), Virginia Commonwealth University, Richmond
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8
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Azraai M, Ajani AE. Late Post- Infarction Left Ventricular Pseudoaneurysm: A Case Report. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2019; 21:145-146. [PMID: 31270024 DOI: 10.1016/j.carrev.2019.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 05/30/2019] [Indexed: 10/26/2022]
Abstract
We present a case of a 90 year-old-patient who presented with syncope. She had previous inferior acute myocardial infarction 10 years ago. Coronary angiography revealed left ventricular pseudoaneurysm, which was confirmed on cardiac computed tomography. The patient refused surgical repair and implantable cardioverter defibrillator insertion and was discharged from the hospital alive. This case demonstrates the possibility of long-term survival with left ventricular pseudoaneurysm and the increasing detection of 'incidental' left ventricular pseudoaneurysm with more frequent use of imaging.
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Affiliation(s)
- Meor Azraai
- Royal Melbourne Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Victoria, Australia
| | - Andrew E Ajani
- Royal Melbourne Hospital, Melbourne, Australia; NHMRC Centre of Clinical Research Excellence in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; University of Melbourne, Melbourne, Victoria, Australia.
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9
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Stephens NR, Restrepo CS, Saboo SS, Baxi AJ. Overview of complications of acute and chronic myocardial infarctions: revisiting pathogenesis and cross-sectional imaging. Postgrad Med J 2019; 95:439-450. [PMID: 30975728 DOI: 10.1136/postgradmedj-2018-136279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 02/06/2019] [Accepted: 02/09/2019] [Indexed: 01/14/2023]
Abstract
Myocardial infarction (MI) remains one of the leading contributors to overall mortality and morbidity in the modern world, even with recent advances in medicine. Various complications can arise following an MI, particularly with delayed or inadequate treatment. Even though many of these complications are uncommon, they can have a significant impact on patient outcomes. Some of these complications can be diagnosed based on clinical, laboratory and echocardiographic evaluation. Other times, however, cardiac MR and multidetector CT are necessary in their diagnosis and proper evaluation. Accurate detection of these complications is an important aspect of optimising prompt and effective patient care, leading to better clinical outcomes. It is the goal of this article to review the role of cross-sectional imaging in patients with post-MI as well as the characteristic imaging findings and differential diagnosis of common and uncommon complications of MI.
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Affiliation(s)
- Nicholas R Stephens
- Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Carlos S Restrepo
- Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Sachin S Saboo
- Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Ameya J Baxi
- Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
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10
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Brock MA, Co-Vu J, Bleiweis MS, Reyes K, Shih RS. Left Ventricular Aneurysm Following Blunt-Force Trauma in a Child. CASE 2019; 3:39-42. [PMID: 30828683 PMCID: PMC6382994 DOI: 10.1016/j.case.2018.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
LV aneurysms are rare in the pediatric population. Given different implications, it is key to distinguish aneurysm and pseudoaneurysm. The authors describe multimodality imaging to manage a pediatric LV aneurysm.
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Affiliation(s)
- Michael A Brock
- Congenital Heart Center, UF Health Shands Children's Hospital, University of Florida, Gainesville, Florida
- Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida
| | - Jennifer Co-Vu
- Congenital Heart Center, UF Health Shands Children's Hospital, University of Florida, Gainesville, Florida
| | - Mark S Bleiweis
- Congenital Heart Center, UF Health Shands Children's Hospital, University of Florida, Gainesville, Florida
| | - Karl Reyes
- Congenital Heart Center, UF Health Shands Children's Hospital, University of Florida, Gainesville, Florida
| | - Renata S Shih
- Congenital Heart Center, UF Health Shands Children's Hospital, University of Florida, Gainesville, Florida
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11
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D'Antuono F, Stanzione A, Tucci AG, Pizza S, Venetucci P. An unusual cause of acute thoracic pain: left ventricular pseudoaneurysm. Intern Emerg Med 2018; 13:1329-1331. [PMID: 30022396 DOI: 10.1007/s11739-018-1911-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Felice D'Antuono
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy.
| | - Arnaldo Stanzione
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Anna Giacoma Tucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Silvia Pizza
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
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12
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Inayat F, Ghani AR, Riaz I, Ali NS, Sarwar U, Bonita R, Virk HUH. Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management. J Investig Med High Impact Case Rep 2018; 6:2324709618792025. [PMID: 30090827 PMCID: PMC6077878 DOI: 10.1177/2324709618792025] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 06/23/2018] [Indexed: 11/16/2022] Open
Abstract
Left ventricular pseudoaneurysm is a rare but life-threatening disorder that is frequently reported secondary to myocardial infarction or cardiac surgery. In this article, we chronicle the case of a patient with no prior risk factors who presented with a 2-week history of nonexertional atypical left chest pain. Apical 2-chamber transthoracic echocardiography revealed an unexpected outpouching of basal inferoseptal wall of the left ventricle, which had a narrow neck and relatively wide apex. The patient was diagnosed with left ventricular pseudoaneurysm and medical therapy was initiated. He refused to undergo the surgical intervention and subsequently, he was discharged from the hospital in stable condition. This article illustrates that physicians should be vigilant for atypical presentations of left ventricular pseudoaneurysm, and a high index of suspicion should be maintained for this stealth killer while performing appropriate diagnostic imaging. Additionally, we review the currently available approaches to diagnosis and management in these patients.
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Affiliation(s)
| | | | - Iqra Riaz
- Einstein Medical Center, Philadelphia, PA, USA
| | | | - Usman Sarwar
- Abington Hospital-Jefferson Health, Abington, PA, USA
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13
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Arnáiz-García ME, González-Santos JM, Iscar-Galán A, Fernández García-Hierro JM, Dalmau-Sorlí MJ, López-Rodríguez J. Postoperative recurrence of postinfarction true and false ventricular aneurysms. Rev Port Cardiol 2016; 35:311.e1-3. [PMID: 27132473 DOI: 10.1016/j.repc.2015.09.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Accepted: 09/13/2015] [Indexed: 11/30/2022] Open
Abstract
Progressive dyspnea after myocardial infarction can suggests the presence of left ventricular (LV) dysfunction or a left ventricular aneurysm (LVA). Surgical treatment of LVA aims to reduce its volume and to restore the ventricle. Recurrence of LVA after previous repair is extremely rare and the occurrence of concomitant postoperative true and false aneurysms is extraordinary. Surgery is usually challenging because of LV dysfunction and cardiac adherences in reoperations. We describe the simultaneous occurrence in a patient of a recurrent true and false LVA after surgical repair of a postinfarction LVA. Five years postoperatively, the patient remains alive and healthy.
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14
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Arnáiz-García ME, González-Santos JM, Iscar-Galán A, Fernández García-Hierro JM, Dalmau-Sorlí MJ, López-Rodríguez J. Postoperative recurrence of postinfarction true and false ventricular aneurysms. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2016. [DOI: 10.1016/j.repce.2015.09.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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15
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Olivas-Chacon CI, Mullins C, Solberg A, Akle N, Calleros JE, Ramos-Duran LR. Assessment of Ischemic Cardiomyopathy Using Cardiovascular Magnetic Resonance Imaging: A Pictorial Review. J Clin Imaging Sci 2015; 5:28. [PMID: 26085960 PMCID: PMC4453159 DOI: 10.4103/2156-7514.157604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 04/02/2015] [Indexed: 11/04/2022] Open
Abstract
Ischemic heart disease is the leading cause of death worldwide. In the last two decades, cardiovascular magnetic resonance imaging (CMRI) has emerged as the primary imaging tool in the detection and prognostic assessment of ischemic heart disease. In a single study, CMRI allows evaluation of not only myocardial wall perfusion, but also the presence, acuity, and extent of myocardial ischemia and infarction complications. Also, rest and stress perfusion imaging can accurately depict inducible ischemia secondary to significant coronary artery stenosis. We present a pictorial review of the assessment of ischemic cardiomyopathy with an emphasis on CMRI features.
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Affiliation(s)
| | - Carola Mullins
- Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA
| | - Agnieszka Solberg
- Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA
| | - Nassim Akle
- Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA
| | - Jesus E Calleros
- Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA
| | - Luis R Ramos-Duran
- Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas, USA
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16
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Alapati L, Chitwood WR, Cahill J, Mehra S, Movahed A. Left ventricular pseudoaneurysm: A case report and review of the literature. World J Clin Cases 2014; 2:90-93. [PMID: 24749118 PMCID: PMC3985042 DOI: 10.12998/wjcc.v2.i4.90] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Revised: 01/12/2014] [Accepted: 03/14/2014] [Indexed: 02/05/2023] Open
Abstract
Left ventricular (LV) pseudoaneurysm is a rare complication that is reported in less than 0.1% of all patients with myocardial infarction. It is the result of cardiac rupture contained by the pericardium and is characterized by the absence of myocardial tissue in its wall unlike true aneurysm which involves full thickness of the cardiac wall. The clinical presentation of these patients is nonspecific, making the diagnosis challenging. Transthoracic echocardiogram and cardiac magnetic resonance imaging are the noninvasive modalities whereas coronary arteriography and left ventriculography are invasive modalities used for the diagnosis. As this condition is lethal, prompt diagnosis and timely management is vital.
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17
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Krasemann T. Ventricular Aneurysms Are Different From Ventricular Diverticula! Circ J 2013; 77:275. [DOI: 10.1253/circj.cj-12-1251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Thomas Krasemann
- Department of Paediatric Cardiology, Evelina Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust
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18
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Oliveira SM, Dias P, Pinho T, Gavina C, Almeida PB, Madureira AJ, Pinho P, Ramos I, Maciel MJ. Pseudoaneurisma gigante do ventrículo esquerdo: contributo diagnóstico de diferentes modalidades de imagem não invasivas. Rev Port Cardiol 2012; 31:439-44. [DOI: 10.1016/j.repc.2012.04.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2011] [Accepted: 11/04/2011] [Indexed: 11/25/2022] Open
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19
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Oliveira SM, Dias P, Pinho T, Gavina C, Almeida PB, Madureira AJ, Pinho P, Ramos I, Maciel MJ. Giant left ventricular pseudoaneurysm: The diagnostic contribution of different non-invasive imaging modalities. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2012. [DOI: 10.1016/j.repce.2011.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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20
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Karamitsos TD, Ferreira V, Banerjee R, Moore NR, Forfar C, Neubauer S. Contained left ventricular rupture after acute myocardial infarction revealed by cardiovascular magnetic resonance imaging. Circulation 2012; 125:2278-80. [PMID: 22566351 DOI: 10.1161/circulationaha.111.068619] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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