Left Ventricular Apical Aneurysm Post Myocardial Infarction In MRI: About a Case

Left ventricular aneurysm is a dangerous mechanical complication of transmural myocardial infarction caused by left anterior descending coronary artery occlusion. Cardiac imaging, dominated by MRI plays a key role in characterization of this entity. Medications or surgery lower the risk of a ruptured ventricular aneurysm.  We report the case of a left ventricular apical aneurysm post myocardial infarction in a 65-year-old patient after an anterior myocardial infraction.

Ecological and evolutionary consequences of alternative sex-change pathways in fish

Sequentially hermaphroditic fish change sex from male to female (protandry) or vice versa (protogyny), increasing their fitness by becoming highly fecund females or large dominant males, respectively. These life-history strategies present different social organizations and reproductive modes, from near-random mating in protandry, to aggregate- and harem-spawning in protogyny. Using a combination of theoretical and molecular approaches, we compared variance in reproductive success (V k*) and effective population sizes (N e) in several species of sex-changing fish. We observed that, regardless of the direction of sex change, individuals conform to the same overall strategy, producing more offspring and exhibiting greater V k* in the second sex. However, protogynous species show greater V k*, especially pronounced in haremic species, resulting in an overall reduction of N e compared to protandrous species. Collectively and independently, our results demonstrate that the direction of sex change is a pivotal variable in predicting demographic changes and resilience in sex-changing fish, many of which sustain highly valued and vulnerable fisheries worldwide