Header

UZH-Logo

Maintenance Infos

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


Cicenia, Marianna; Fedele, Francesco; Petronilli, Valentina; De Carlo, Carlotta; Moscucci, Federica; Schina, Mauro; Sciomer, Susanna (2017). Hidden in the heart a peculiar type of left ventricular remodeling after acute myocardial infarction. Echocardiography, 34(11):1738-1739.

Abstract

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.

Abstract

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.

Statistics

Citations

Dimensions.ai Metrics

Altmetrics

Downloads

1 download since deposited on 01 Feb 2018
1 download since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:aneurysm, , Color Doppler, , Left ventricular pseudoaneurysm
Language:English
Date:November 2017
Deposited On:01 Feb 2018 17:13
Last Modified:19 Feb 2018 10:42
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0742-2822
OA Status:Closed
Publisher DOI:https://doi.org/10.1111/echo.13658
PubMed ID:28840949

Download