Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction

Jens Vogel-Claussen; Jan Skrok; Elliot K. Fishman; João A.C. Lima; Ashish S. Shah; David A. Bluemke

doi:10.1186/1749-8090-4-42

Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction

Jens Vogel-Claussen, Jan Skrok, Elliot K. Fishman, João A.C. Lima, Ashish S. Shah, David A. Bluemke

School of Medicine

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

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.

Original language	English (US)
Article number	42
Journal	Journal of Cardiothoracic Surgery
Volume	4
DOIs	https://doi.org/10.1186/1749-8090-4-42
State	Published - Aug 12 2009

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1186/1749-8090-4-42

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title = "Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction",

abstract = "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.",

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AU - Vogel-Claussen, Jens

AU - Skrok, Jan

AU - Fishman, Elliot K.

AU - Lima, João A.C.

AU - Shah, Ashish S.

AU - Bluemke, David A.

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AB - 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.

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Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction

Abstract

ASJC Scopus subject areas

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