scholarly journals An unruptured “Pocket – Like” giant apical pseudoaneurysm of the left ventricle: A case report

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Rekik Bassem ◽  
◽  
Yaakoubi Wael ◽  
Zouari Fourat ◽  
Mghaith Fathia ◽  
...  
Keyword(s):  
Left Ventricle ◽  
Past History ◽  
Myocardial Infarct ◽  
Severe Heart Failure ◽  
Lateral Wall ◽  
Resonance Imaging ◽  
Chest Discomfort ◽  
Acute Myocardial Infarct ◽  
History Of ◽  
Apical Localization

Cardiac pseudoaneurysm is rare and appears mostly as tardive complication of Acute Myocardial Infarct (AMI). Its apical localization is also scarce as it is usually described in posterior or lateral wall of left ventricle. Its diagnosis is based on cardiac imaging. We report a case of a hypertensive, diabetic and smoking 64-year-old man with a past history of anterior AMI. He was symptomatic of chest discomfort. Physical examination indicates an apical murmur, his electrocardiogram showed a regular sinus rhythm and a complete left branch block. The Transthoracic (TTE) echocardiography revealed a giant apical pocketlike aneurysm lined with a clot. Cardiac Magnetic Resonance Imaging (CMRI) confirmed the diagnosis of an apical pseudoaneurysm due to ischemic heart disease in the stage of severe heart failure.

scholarly journals ORAL AB II QUICK FIRE BASIC1393Validation of aortic in-vitro strain measurement by Magnetic Resonance Imaging with realistic abdominal aortic aneurism phantom1474A novel method of Segment Length Tracking providing regional strain measures from standard CMR cine images in CRT candidates1623T1 mapping can quantify the area-at-risk and infarct size – no need for T2 mapping or conventional LGE imaging in acute STEMI at 1.5T1373Reliability and reproducibility of trans-valvular flow measurement by 4D flow magnetic resonance imaging in acute myocardial infarct patients: two centre study1588Insights into hypertensive heart disease phenotypes: spectrum of myocyte, interstitial and vascular changes by cardiovascular MRI1412Myocardial partition coefficient of gadolinium: A comparison between patients with acute myocarditis, chronic infarction and healthy volunteers1386A comparison of circumferential strain results from multiple software packages in healthy subjects

2016 ◽  
Vol 17 (suppl 1) ◽  
pp. i10-i13
Author(s):  
Yufei Wang ◽  
A Zweerink ◽  
Heerajnarain Bulluck ◽  
P. Garg ◽  
Jonathan C L Rodrigues ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Acute Myocarditis ◽  
Myocardial Infarct ◽  
T2 Mapping ◽  
Hypertensive Heart Disease ◽  
Segment Length ◽  
Resonance Imaging ◽  
4D Flow ◽  
Acute Myocardial Infarct

scholarly journals P1723 Spectacular left ventricle post infarction aneurysm

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A Bednarek ◽  
J Wieczorek ◽  
M Elzbieciak ◽  
M Deja ◽  
K Mizia-Stec
Keyword(s):  
Left Ventricle ◽  
Interventricular Septum ◽  
Severe Heart Failure ◽  
Lateral Wall ◽  
Anterior Wall ◽  
Middle Part ◽  
Heart Team ◽  
Maximum Width ◽  
St Segment Elevation ◽  
Myocardial Infraction

Abstract Sixty six-y.o. woman 2 months after anterior wall ST-segment elevation myocardial infraction and PCI LAD + 3DES (TIMI 1) was re-admitted to the clinic because of progressive severe heart failure (NYHA III/IV). In admission NT-proBNP level was 14 000 pg/ml, INR 1,7, bilirubin 4,5mg/dl. The electrocardiogram showed persistent ST elevation on anterior leads. Transthoracic echocardiography (TTE) revealed spectacular finding: aneurysm of left ventricle (LV) involving ½ distal part of interventricular septum, apex, inferior, anterior and lateral wall with LVEF 24%, LVEDV 272ml. Thickness of intraventricular septum (IVS) on aneurysm level was only 2,5-3,5mm. In the middle part of IVS a minimal ventricular septal defect (VSD) was showed. Cardiac magnetic resonance examination confirmed TTE findings. The course of the disease was dynamic. The diameter of VSD was increased during consecutive days of hospitalization with maximum width 6,5mm. The patient was hemodynamical unstable, she needed pressure amines, diuretics and intra-aortic balloon pumping. The patient underwent several Heart Team consultations. She was disqualified from percutaneous VSD closing because of thickness of IVS and spiral shape of VSD. Due to potentially too small LV volume after LV plastic surgery the patient was also disqualified from that procedure. We reported the patient to heart transplantation (HTX). There was no transplant donor. In next days we observed progressive signs of a cardiogenic shock with right ventricle decompensation secondary to widening of VSD. Because of unstable stage and growing decompensation, no possibility of HTX patient had life—saving cardiac surgery of LV with mitral valve and tricuspid valve anuloplasthies. The patient survived operation. Abstract P1723 Figure.

scholarly journals Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

2019 ◽  
Vol 22 (1) ◽  
pp. 46-49
Author(s):  
Dong Hyun Kim ◽  
Seunggi Min ◽  
Hyun Joo Lee ◽  
Hee-June Kim ◽  
Hoseok Lee ◽  
...  
Keyword(s):  
Past History ◽  
Mycobacterial Infection ◽  
Synovial Chondromatosis ◽  
Cystic Mass ◽  
Resonance Imaging ◽  
Olecranon Bursitis ◽  
Rice Bodies ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Characteristics

A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

Congenital Giant Diverticulum of the Left Ventricle in an Adult

2005 ◽  
Vol 13 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Sai S Oruganti ◽  
Dharma R Ayapati ◽  
Milton A James ◽  
Jagan MR Jinna ◽  
Seshagiri R Damera ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Resonance Imaging ◽  
Ventricular Diverticulum ◽  
Giant Diverticulum ◽  
Left Ventricular Diverticulum ◽  
History Of ◽  
Congenital Diverticulum

Congenital diverticulum of the left ventricle is a rare anomaly. Echocardiography, cardiac catheterization, and magnetic resonance imaging of the heart diagnosed a giant left ventricular diverticulum in a 20-year-old male with a history of dyspnea and palpitations. He underwent successful surgical correction of the left ventricular diverticulum.

scholarly journals A Case of Hypogonadotropic Hypogonadism Caused by Opioid Treatment for Nonmalignant Chronic Pain

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Yukiko Tabuchi ◽  
Tetsuyuki Yasuda ◽  
Hideaki Kaneto ◽  
Tetsuhiro Kitamura ◽  
Junji Kozawa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Past History ◽  
Hypogonadotropic Hypogonadism ◽  
Brain Magnetic Resonance Imaging ◽  
Resonance Imaging ◽  
Transdermal Fentanyl ◽  
Opioid Treatment ◽  
Traffic Injury ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

We report a case of 42-year-old male patient with hypogonadotropic hypogonadism. He suffered from general fatigue and erectile dysfunction after the treatment with transdermal fentanyl for chronic pain by traffic injury. Endocrine examinations and hormone stimulating tests showed that he had hypogonadotropic hypogonadism. Brain magnetic resonance imaging (MRI) showed no abnormal findings, and he had no past history of accounting for acquired hypogonadotropic hypogonadism. Therefore, his hypogonadism was diagnosed to be caused by opioid treatment. Although opioid-induced endocrine dysfunctions are not widely recognized, this case suggests that we should consider the possibility of endocrine dysfunctions in patients with opioid treatment.

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