A Boolean Dilemma: True or False Aneurysm?

3D, 3-dimensional CT, computed tomography ECG, electrocardiogram IABP, intra-aortic balloon pump ICD, implantable cardioverter-defibrillator LGE, late gadolinium enhancement LV, left ventricular MRI, magnetic resonance imaging V-A ECLS, veno-arterial extracorporeal life support VT, ventricular tachycardia computed tomography echocardiography false aneurysm magnetic resonance imaging myocardial infarction pseudoaneurysm

Journal

JACC. Case reports
ISSN: 2666-0849
Titre abrégé: JACC Case Rep
Pays: Netherlands
ID NLM: 101757292

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 22 06 2020
revised: 25 09 2020
accepted: 28 09 2020
entrez: 28 7 2021
pubmed: 29 7 2021
medline: 29 7 2021
Statut: epublish

Résumé

A feared complication of acute myocardial infarction is the formation of a cardiac pseudoaneurysm. We report a case of a gargantuan, arrhythmogenic left-ventricular pseudoaneurysm with contradictory morphological characteristics. The integrative use of high-resolution 3-dimensional magnetic resonance imaging and computed tomography proved essential for the diagnostic discrimination and successful therapeutic intervention. (

Identifiants

DOI: 10.1016/j.jaccas.2020.09.055 PMID: 34317481 PMC: PMC8305069
pubmed: 34317481
doi: 10.1016/j.jaccas.2020.09.055
pii: S2666-0849(20)31323-1
pmc: PMC8305069
doi:

Types de publication

Case Reports

Langues

eng

Pagination

112-116

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

Mr. Holtackers has been supported by a HS-BAFTA fellowship from the Cardiovascular Research Institute Maastricht (CARIM). All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Références

Heart. 2003 Oct;89(10):1144-6
pubmed: 12975400
J Am Coll Cardiol. 1996 May;27(6):1321-6
pubmed: 8626938
J Thorac Cardiovasc Surg. 1993 Dec;106(6):1189-91
pubmed: 8246558
Am J Cardiol. 1982 Jul;50(1):157-64
pubmed: 6979918
J Cardiovasc Magn Reson. 2019 Jul 29;21(1):44
pubmed: 31352900
Am J Cardiol. 1980 Nov;46(5):869-78
pubmed: 7435399
J Am Coll Cardiol. 2004 Aug 4;44(3):E1-E211
pubmed: 15358047
Invest Radiol. 2021 May 1;56(5):335-340
pubmed: 33273374
J Cardiovasc Magn Reson. 2017 Aug 23;19(1):64
pubmed: 28835250
J Am Coll Cardiol. 1998 Sep;32(3):557-61
pubmed: 9741493

Auteurs

Robert J Holtackers (RJ)

Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
Department of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom.

Rachel M A Ter Bekke (RMA)

Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
Department of Cardiology, Maastricht University Medical Centre, Maastricht, the Netherlands.

Geertruida P Bijvoet (GP)

Department of Cardiology, Maastricht University Medical Centre, Maastricht, the Netherlands.

Suzanne Gommers (S)

Department of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.

Amedeo Chiribiri (A)

School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom.
Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

Roberto Lorusso (R)

Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
Department of Cardio-Thoracic Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.

Classifications MeSH