22 research outputs found
Subendocardial reversible perfusion defects on adenosine stress MRI in ER patients with chest pain: relationship to cardiovascular risk factors
First-pass contrast bolus hemodynamics contain information on right ventricular function, remodeling, and lung resistance in pulmonary arterial hypertension patients
Reduction of relative resting myocardial blood flow is related to myocardial delayed enhancement, T2-signal abnormalities, left-ventricular wall thickness and age in patients with hypertrophic cardiomyopathy
Coronary flow reserve correlates with right ventricular dysfunction and predicts right heart failure in patients with pulmonary arterial hypertension
Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction
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