[Ventricular aneurism complicating a myocardial infarction].

We report the clinical case and the infrequent image of a patient developing a ventricular aneurysm following a myocardial infarction. We take advantage of this clinical case to recall some differences between aneurysm and pseudo-aneurysm with a very different prognosis.

[Diagnosis and treatment of cardiac transthyretin amyloidosis. Innovative therapy with tafamidis.].

Cardiac amyloidosis is a rare and severe disease with worse prognosis than classic cardiac insufficiency. Transthyretin amyloïdosis is an underdiagnosed cause of amyloidosis. Technetium scintigraphy allows to confirm diagnosis of transthyretin amyloidosis with great specificity.

Chilblains.

Idiopathic chilblain is a relatively common yet poorly recognized acrosyndrome. This literature review aims to better understand and draw attention to this disorder. Chilblain is a localized inflammation of the skin that occurs on exposure to cold but non-freezing wet weather.

[Why to treat a total chronic coronary occlusion?].

Despite an incidence of about 15% of the patients undergoing coronary angiography, total chronic occlusions (CTO) are rarely revascularized by percutaneous angioplasty (PCI). Nevertheless, current evidence suggest that successful CTO-PCI improve symptoms, quality of live and long-term survival. During the last years, improvement of specific techniques for these complexes procedures and increasing experience of operators allow actually to obtain success and complications rates almost equivalent to non-CTO lesions angioplasty.

[Myocardial infarction on spontaneous coronary dissection caused by fibromuscular dysplasia].

Spontaneous Coronary Artery Dissection (SCAD) is a non-traumatic and non-iatrogenic separation of the coronary arterial wall. Although uncommon, it should be suspected in any young patient with acute myocardial infarction especially without risk factor of cardiovascular disease. Early coronary angiography is essential in the diagnosis of SCAD.