Subacute silent myocardial infarction with thrombotic intramyocardial dissection and apical aneurysm: limits of LGE.

Authors

  • Diana Bastidas Servicio de Cardiología. Hospital Nuestra Señora del Rosario. Madrid, España. https://orcid.org/0009-0000-7194-455X
  • Carmela Alonso Gutiérrez Servicio de Cardiología. Hospital Nuestra Señora del Rosario. Madrid, España. https://orcid.org/0009-0005-7266-9875
  • Antonio Castellaccio Servicio de Radiología. Hospital Nuestra Señora del Rosario. Madrid, España https://orcid.org/0000-0002-5765-5660
  • Eliseo Vaño Servicio de Radiología. Hospital Nuestra Señora del Rosario. Madrid, España
  • Antonio Álvarez Vieitez Servicio de Cardiología. Hospital Nuestra Señora del Rosario. Madrid, España.
  • Joel Moreno Uzcátegui Servicio de Imágenes de Cardiología. Hospital Luis Vernaza. Guayaquil. Ecuador.

DOI:

https://doi.org/10.37615/retic.v7n3a12

Keywords:

silent acute myocardial infarction, thrombotic intramyocardial dissection, apical aneurysm, intraventricular thrombus

Abstract

Intramyocardial dissection is one of the most infrequent forms of mechanical complication of infarction. We present the case of a patient with silent myocardial infarction complicated by thrombotic intramyocardial dissection. Cardiac magnetic resonance imaging (CMR) revealed an extensive infarct in the territory of the anterior descending artery with globally nonviable myocardium apical aneurysm and intraventricular thrombus with a final diagnosis of intramyocardial dissecting hematoma. In this article we review CMR sequences and the limits of the technique.

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Published

2024-12-31

How to Cite

1.
Bastidas D, Alonso Gutiérrez C, Castellaccio A, Vaño E, Álvarez Vieitez A, Moreno Uzcátegui J. Subacute silent myocardial infarction with thrombotic intramyocardial dissection and apical aneurysm: limits of LGE. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2024 Dec. 31 [cited 2025 Jan. 10];7(3):53-6. Available from: https://imagenretic.org/RevEcocarPract/article/view/677