An Unusual Case of Multiple Left Ventricular Aneurysms Masquerading as Diverticula in the Setting of Myocardial Infarction.
Hussain AlzayerAhmad AlshattiAkeel AlaliPublished in: Clinical Medicine Insights. Cardiology (2021)
The distinction between cardiac aneurysms and diverticula can be very difficult by angiography. Left ventricular (LV) aneurysms usually occur following transmural myocardial infarction. On the other hand, cardiac diverticula are most commonly congenital. They are commonly detected by cardiac CT with a prevalence of 2.2%. Here we present a case of a 60-year-old male with the incidental finding of multiple LV aneurysms masquerading as diverticula in the setting of myocardial infarction with near normal coronary arteries. Moreover, this case highlights the limitation of coronary angiography in the diagnosis of myocardial infarction with no obstructive atherosclerosis (MINOCA).
Keyphrases
- left ventricular
- aortic stenosis
- hypertrophic cardiomyopathy
- heart failure
- cardiac resynchronization therapy
- acute myocardial infarction
- left atrial
- mitral valve
- computed tomography
- coronary artery disease
- cardiovascular disease
- coronary artery
- risk factors
- optical coherence tomography
- type diabetes
- image quality
- contrast enhanced
- dual energy
- blood flow
- ejection fraction