5,247 results match your criteria: "Ventricular Aneurysm Imaging"

A simplified approach to managing a complex infected left ventricular pseudoaneurysm.

J Cardiothorac Surg

December 2024

Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Left ventricular pseudoaneurysm (LVP) is a rare but life-threatening condition resulting from acute myocardial infarction, trauma, bacterial infection, or previous cardiac operations. Diagnosis can be challenging as LVPs remain asymptomatic or present with nonspecific clinical symptoms. Early diagnosis is crucial to prevent rupture and recurrent septicemia.

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[Ventricular aneurism complicating a myocardial infarction].

Rev Med Liege

December 2024

Service de Cardiologie, CHU Liège, Belgique.

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.

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Advances in Cardiac Imaging and Genetic Testing for Diagnosis and Risk Stratification in Cardiomyopathies: 2024 Update.

J Clin Med

November 2024

Collegium Medicum-Faculty of Medicine, WSB University, 41-300 Dabrowa Gornicza, Poland.

Cardiomyopathies represent a diverse group of heart muscle diseases marked by structural and functional abnormalities that are not primarily caused by coronary artery disease. Recent advances in non-invasive imaging techniques, such as echocardiography, cardiac magnetic resonance, and computed tomography, have transformed diagnostic accuracy and risk stratification, reemphasizing the role of cardiac imaging in diagnosis, phenotyping, and management of these conditions. Genetic testing complements imaging by clarifying inheritance patterns, assessing sudden cardiac death risk, and informing therapeutic choices.

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Aortic dissection (AD) is a life-threatening emergency involving a tear in the aortic intima, leading to a false lumen. Atrial fibrillation (AF) can complicate AD, increasing management challenges and mortality risks. We report a 67-year-old male with no known past medical history who presented with a 1-day history of abdominal pain.

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ECMO is an advanced technology for extracorporeal respiratory and circulatory support. It involves the extraction of venous blood from the patient's body, which is subsequently oxygenated within an oxygenator (or membrane lung). This oxygen-rich blood is reinfused either into veins or arteries, rapidly compensating for impaired lung and heart functionalities.

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The clinical reality of "disappeared" lateral posterior choroidal artery aneurysm: case report.

Neurol Sci

December 2024

Department of Neurosurgery, The Second Clinical Medical College, Nanchong Central Hospital, North Sichuan Medical College, No. 97 Renmin South Road, Nanchong, Sichuan, 637000, China.

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Article Synopsis
  • Infective endocarditis (IE) can occur in adults with ventricular septal defects (VSD), and this case reports a rare instance involving systemic embolisms and aortic pseudoaneurysms.
  • A 27-year-old woman with a previously asymptomatic VSD presented with prolonged fever and was found to have staphylococcus infection, heart murmurs, and serious complications like mycotic aneurysms and embolisms.
  • The patient received targeted antibiotics and underwent urgent heart surgery, emphasizing the importance of checking for systemic embolism in right ventricle IE and noting that congenital VSD can lead to serious complications from bacteremia.
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The left ventricular diverticulum (LVD) is a rare congenital heart disease commonly discovered during examinations. Herein, we report a LVD on the lateral wall of left ventricular outflow tract. A case of a 22-year-old female patient who visited our hospital with complaints of shortness of breath, accompanied by vomiting, cough, and lower limb and facial edema and was diagnosed with "aortopulmonary septal defect" using transthoracic echocardiography.

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  • Myocardial dissection is a rare but serious complication of ischaemic heart disease, characterized by a haematoma forming within the cardiac muscle, often triggered by factors such as increased wall tension and reduced tensile strength.
  • A case study highlights a 37-year-old male, who developed myocardial dissection following an ST elevation infarction after years of substance abuse, including heroin and methamphetamines, which might be linked to his condition.
  • The patient presented with symptoms of heart failure, and diagnostic tests revealed severe heart dysfunction and a mass in the heart, leading to treatment with diuretics and medical therapy instead of surgery due to high operative risk.
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  • Hypertrophic cardiomyopathy (HCM) is a heart condition where the heart muscle thickens, with apical HCM being a rarer form that affects specific regions of the heart.
  • Traditional echocardiography can make diagnosing apical HCM difficult, leading to cases where patients are referred for CT coronary angiography.
  • The study presents four cases where CT scans not only ruled out coronary artery disease but also helped confirm apical HCM through detailed evaluation of the CT data.
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Long-Term Prognosis of Coronary Aneurysms: Insights of CAAR, an International Registry.

JACC Cardiovasc Interv

November 2024

Interventional Cardiology, Hospital Clínico San Carlos, IdISSC, Madrid, Spain; Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain; Cardiology, Hospital Universitario de Torrejón, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain. Electronic address:

Article Synopsis
  • Researchers studied 1,729 patients with coronary artery aneurysms (CAAs) to understand their clinical characteristics and predict outcomes, using data from an international registry across 9 countries.
  • The majority of patients were male (78.6%) averaging 66 years old, with significant cardiovascular issues such as coronary artery disease (85.8%) and a median of 1 aneurysm per patient, primarily affecting the left anterior descending artery.
  • During a median follow-up of about 45 months, 21.9% of patients died, and 37.1% experienced major adverse cardiovascular events; factors like age, diabetes, and kidney disease were linked to worse outcomes.
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  • * The research analyzed 100 patients' data, looking at demographics, surgical outcomes, and transthoracic echocardiographic results to assess cardiac function and medication changes.
  • * Findings indicated no significant differences in antihypertensive medication use after 1, 2, or 3 years between TEVAR and OSR groups, but TEVAR patients were more likely to require additional antihypertensive medications; there were also no notable differences in left ventricular function or hypertrophy between the
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  • Left ventricular (LV) pseudoaneurysm is a rare but serious complication that can occur after a heart attack or heart surgery, often manifesting years later, as seen in the case of an 83-year-old man who developed it 18 years post-Dor operation.
  • The patient experienced rapid heart enlargement and dyspnea, which was diagnosed as an LV pseudoaneurysm through various non-invasive imaging techniques, revealing that the suture connecting the patch to the heart muscle weakened over time.
  • Although surgery is typically recommended due to the high risk of rupture, the patient was not a suitable candidate due to age and renal issues, so he was treated conservatively with medication for hypertension and heart failure.
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Background: Pediatric intracranial aneurysms account for 5% of all aneurysms and less than 10% of all aneurysms cause non-traumatic intracranial hemorrhage in children. They are most commonly secondary to trauma, infection, or genetic etiologies; however, case reports have described iatrogenic intracranial aneurysms. We describe a case of a ruptured aneurysm with an associated intracranial hematoma that was treated by surgical clipping and clot evacuation.

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  • * After surgery for the dissection, she continued to have resistant hypertension, leading to further tests that revealed bilateral pelvic paragangliomas.
  • * The surgical removal of the tumors significantly improved her blood pressure and revealed a genetic link (SDHB mutation), underscoring the importance of recognizing possible endocrine causes of hypertension in young adults.
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Background: Left ventricular (LV) apical aneurysms (ApAn+) occur in 10%-15% of apical hypertrophic cardiomyopathy (ApHCM) patients and confer considerable morbidity. We hypothesized that ApAn+ adversely impact ventricular mechanics and mechano-energetic coupling in ApHCM.

Methods: Ninety-eight ApHCM patients were identified, of which nine (9%) had ApAn+ and were compared with 89 (91%) who did not (ApAn-).

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Aims: Current management of left ventricular (LV) thrombus relies on limited, non-contemporary, echocardiography-based studies. Data on LV thrombus evolution and the associated embolic risk are scarce. We aimed to describe the evolution of LV thrombus on serial cardiovascular magnetic resonance imaging (CMR) - the current reference standard for the detection of LV thrombus, and identify correlates of no resolution and the embolic risk associated with resolution status.

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Extrinsic compression of the right coronary artery by a huge aortic wall aneurysm of an aortico-left ventricular tunnel: A case report.

Heliyon

October 2024

Department of Cardiology, Changde Hospital, Xiangya School of Medicine, Central South University, 818 Renmin Avenue, Changde City, 415003, China.

Article Synopsis
  • A case is reported of a 57-year-old woman experiencing unstable angina due to compression of the right coronary artery by a large aneurysmal ALVT, which was not detected by preoperative imaging.
  • This case emphasizes the need for careful evaluation of unusual anatomical features in ALVT, requiring a combination of imaging and surgical exploration for diagnosis and effective treatment, leading to resolution of the patient's symptoms after surgery.
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