Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarctionReport as inadecuate




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Journal of Cardiothoracic Surgery

, 4:42

First Online: 12 August 2009Received: 16 March 2009Accepted: 12 August 2009

Abstract

We report the case of a 67 year-old patient who presented with worsening chest pain and shortness of breath, four days post acute myocardial infarction. Contrast enhanced computed tomography of the chest ruled out a pulmonary embolus but revealed an unexpected small subepicardial aneurysm SEA in the lateral left ventricular wall which was confirmed on cardiac magnetic resonance imaging. Intraoperative palpation of the left lateral wall was guided by the cardiac MRI and CT findings and confirmed the presence of focally thinned and weakened myocardium, covered by epicardial fat. An aneurysmorrhaphy was subsequently performed in addition to coronary bypass surgery and a mitral valve repair. The patient was discharged home on post operative day eight in good condition and is feeling well 2 years after surgery.

Electronic supplementary materialThe online version of this article doi:10.1186-1749-8090-4-42 contains supplementary material, which is available to authorized users.

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Author: Jens Vogel-Claussen - Jan Skrok - Elliot K Fishman - João AC Lima - Ashish S Shah - David A Bluemke

Source: https://link.springer.com/







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