Hidden in the heart: A peculiar type of left ventricular remodeling after acute myocardial infarction

被引：1
|
作者：
Cicenia, Marianna [1 ]
Fedele, Francesco [1 ]
Petronilli, Valentina [1 ]
De Carlo, Carlotta [2 ]
Moscucci, Federica [1 ]
Schina, Mauro [1 ]
Sciomer, Susanna [1 ]
机构：
[1] Sapienza Univ Rome, Dept Cardiovasc Resp Nephrol Anesthesiol & Geriat, Rome, Italy
[2] Univ Hosp Zurich, Univ Heart Ctr, Zurich, Switzerland
来源：
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2017年 / 34卷 / 11期
关键词：
aneurysm; color Doppler; left ventricular pseudoaneurysm; INTRAMYOCARDIAL DISSECTING HEMATOMA;
D O I：
10.1111/echo.13658
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We reported an unusual case of left ventricular pouch, in a 72-year-old man who had an acute coronary syndrome treated with percutaneous revascularization. The echocardiogram showed a sort of pouch, delimited by epicardium and endocardium, confirmed by 3D echo. This finding appeared as an echo free area, with a really slight color flow inside. We consequently supposed it would be a dissecting hematoma, a rare complication of the ischemic disease, due to the rupture of the intramyocardial vessels among the spiral myocardial fibers. This would produce a hemorrhagic pouch contained by epicardial and endocardial layers, which could evolve into mural thrombi.
引用
收藏
页码：1738 / 1739
页数：2
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