Left ventricular free wall rupture is a catastrophic complication of acute myocardial infarction (AMI) and occurs in approximately 23% of patients with fatal AMI. At times, the free wall rupture is contained by overlying adherent pericardium, producing what has been termed as left ventricular false aneurysm or pseudoaneurysm. Many cases of pseudoaneurysm are likely to represent the evolution of a preexisting subepicardial aneurysm. The prognosis and treatment of subepicardial aneurysms are still debated. We present the case of a 62-year-old woman who developed a burrow in the apex of the left ventricle (LV) after an anterior myocardial reinfarction. To diagnose subepicardial aneurysm, a combination of imaging techniques was used
Cardiac imaging in subepicardial anerysm
ZITO, Concetta;DI BELLA, Gianluca;ORETO, Giuseppe;CUSMA' PICCIONE, MAURIZIO;CARERJ, Scipione
2011-01-01
Abstract
Left ventricular free wall rupture is a catastrophic complication of acute myocardial infarction (AMI) and occurs in approximately 23% of patients with fatal AMI. At times, the free wall rupture is contained by overlying adherent pericardium, producing what has been termed as left ventricular false aneurysm or pseudoaneurysm. Many cases of pseudoaneurysm are likely to represent the evolution of a preexisting subepicardial aneurysm. The prognosis and treatment of subepicardial aneurysms are still debated. We present the case of a 62-year-old woman who developed a burrow in the apex of the left ventricle (LV) after an anterior myocardial reinfarction. To diagnose subepicardial aneurysm, a combination of imaging techniques was usedPubblicazioni consigliate
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