Hidden in the heart: A peculiar type of left ventricular remodeling after acute myocardial infarction.
Marianna CiceniaFrancesco FedeleValentina PetronilliCarlotta De CarloFederica MoscucciMauro SchinaSusanna SciomerPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
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.
Keyphrases
- left ventricular
- acute myocardial infarction
- acute coronary syndrome
- percutaneous coronary intervention
- cardiac resynchronization therapy
- heart failure
- hypertrophic cardiomyopathy
- magnetic resonance
- mitral valve
- left atrial
- aortic stenosis
- diffusion weighted imaging
- diffusion weighted
- coronary artery bypass grafting
- contrast enhanced
- antiplatelet therapy
- minimally invasive
- coronary artery disease
- atrial fibrillation
- ischemia reperfusion injury
- magnetic resonance imaging
- computed tomography
- solar cells
- cerebral ischemia
- oxidative stress
- radiofrequency ablation
- brain injury
- subarachnoid hemorrhage