Subacute silent myocardial infarction with thrombotic intramyocardial dissection and apical aneurysm: limits of LGE.
DOI:
https://doi.org/10.37615/retic.v7n3a12Keywords:
silent acute myocardial infarction, thrombotic intramyocardial dissection, apical aneurysm, intraventricular thrombusAbstract
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.
Downloads
Metrics
References
Yarlioglues, M., Kaya, M. G., Ardic, I., Calapkorur, B., Dogdu, O., Akpek, M., ... & Ozdogru, I. (2012). Myocardial infarction with nonobstructive coronary arteries (MINOCA) in the post-stent era. Journal of the American Heart Association, 1(6), e001906.
Robert A. Byrne 2023 ESC Guidelines for the management of acute coronary syndromes Developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC). European Heart Journal (2023) 00, 1–107 https://doi.org/10.1093/eurheartj/ehad191 DOI: https://doi.org/10.1093/eurheartj/ehad191
Davidavicius, G., Godino, C., Shannon, J., & Colombo, A. (2012). Complications of myocardial infarction. In Complications of Percutaneous Coronary Intervention (pp. 119-138). Springer, London.
Bennet, S. J., & Mccall, K. S. (2010). Preventing thromboembolism in heart failure. Nursing, 40(5), 19-22.
Roslan A, Jauhari Aktifanus AT, Hakim N, Megat Samsudin WN, Khairuddin A. Intramyocardial Dissecting Hematoma in Patients with Ischemic Cardiomyopathy: Role of Multimodality Imaging in Three Patients Treated Conservatively. CASE (Phila). 2017. 28;1:159-162. https://doi.org/10.1016/j.case.2017.05.004. DOI: https://doi.org/10.1016/j.case.2017.05.004
Gattani R, Bakhshi H, Ofosu-Somuah A, Qian X, Atkins M. Multimodality Imaging Assessment of Ventricular Septal Rupture and Intramyocardial Dissecting Hematoma Post Late-Presenting Acute Myocardial Infarction. Circ Cardiovasc Imaging. 2021 1; 14:e013185. https://doi.org/10.1161/CIRCIMAGING.121.013185 DOI: https://doi.org/10.1161/CIRCIMAGING.121.013185
Salerno M, Sharif B, Arheden H, Kumar A, Axel L, Li D, Neubauer S. Recent Advances in Cardiovascular Magnetic Resonance: Techniques and Applications. Circ Cardiovasc Imaging. 2017; 10:e003951. https://doi.org/10.1161/CIRCIMAGING.116.003951. DOI: https://doi.org/10.1161/CIRCIMAGING.116.003951
Kellman P, Arai AE. Cardiac imaging techniques for physicians: late enhancement. J Magn Reson Imaging. 2012; 36:529-42. https://doi.org/10.1002/jmri.23605. DOI: https://doi.org/10.1002/jmri.23605
Alyousef T, Malhotra S, Iskander F, Gomez J, Basu A, Tottleben J, et al. Left Ventricular Intramyocardial Dissecting Hematoma: A Multimodality Imaging Diagnostic Approach. Circ Cardiovasc Imaging. 2021;14:e012410. https://doi.org/10.1161/CIRCIMAGING.121.012410 DOI: https://doi.org/10.1161/CIRCIMAGING.121.012410
Taylor AJ, Salerno M, Dharmakumar R, Jerosch-Herold M. T1 Mapping Basic Techniques and Clinical Applications. JACC Cardiovasc Imaging. 2016; 9:67-81. https://doi.org/10.1016/j.jcmg.2015.11.005. DOI: https://doi.org/10.1016/j.jcmg.2015.11.005
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Diana Bastidas Plaza, Carmela Alonso Gutiérrez, Antonio Castellaccio, Eliseo Vaño, Antonio Álvarez Vieitez, Joel Moreno Uzcátegui
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.