Abstract Left ventricular pseudoaneurysm (LVPSA) is a rare complication after myocardial infarction (MI) with a significant risk of rupture if untreated. Given the elevated surgical risk in this context, alternative treatments are emerging. This case describes a percutaneous closure of an LVPSA after extensive MI with delayed revascularization.

Introduction Left ventricular (LV) pseudoaneurysm is nowadays a rare but still potentially fatal complication of myocardial infarction (MI). Recent studies have estimated that following ST-elevation MI, 0.27 to 0.91% of patients develop mechanical complications. LV free wall rupture (VFWR) is estimated to occur in 0.01 to 0.52% of patients, showing a clear decrease in incidence associated with the widespread adoption of reperfusion therapy. Nonetheless, there has been no significant decrease in associated mortality rates and this complication remains an important […]

Introduction Left ventricular aneurysms (LVA) and left ventricular pseudoaneurysms (LVPA) are serious complications resulting from transmural myocardial infarction. Their incidence has decreased considerably with the advancements of interventional cardiology, using early revascularization of the compromised coronary artery, preventing ventricular remodeling. Differential diagnosis is often not easy; however, it must be made early. An LVA occurs months or years after acute myocardial infarction. It is formed by an area of scar tissue and contains the three layers of the ventricular wall […]

Introduction There has been an increased incidence of coronavirus-associated thromboembolic events during the coronavirus disease 2019 (COVID-19) pandemic. However, most cases presented with venous thrombotic events, mainly deep vein thrombosis and pulmonary thromboembolism, whereas arterial and coronary phenomena are rare. Several pathophysiological factors can explain the relationship between COVID-19 infection and increased embolic phenomena. The main factors are increased inflammatory mediators, the release of prothrombotic factors, and endothelial dysfunction., […]

Abstract Although assessing myocardial viability is a common cardiology practice, many physicians question the results of diagnostic methods. Nuclear medicine plays an important role in viability studies, but the reports require interpretation in a clinical and pathophysiological context. this article was aimed at reviewing the origin and evolution of myocardial viability. Here we present diagnostic methods by emphasizing nuclear medicine and provide a functional explanation of each test type using example images. We also propose how to act in these […]

Introduction After acute myocardial infarction (AMI), some cases progress with deep T wave inversions on electrocardiogram (ECG). This electrocardiographic abnormality can continue for a prolonged period, even if a coronary intervention within a short time of AMI progression results in successful myocardial reperfusion. However, these deep T wave inversions can raise management questions when the patient is already being followed up in an outpatient clinic, particularly in the absence of relevant symptoms to support the resurgence of an ischemic process. […]

ABSTRACT We report the case of a young patient admitted to the emergency room with precordial pain. Admission electrocardiogram identified ST-segment elevation located on the side wall associated with “mirror” image, with highly elevated cardiac enzymes, suggesting a diagnosis of coronary syndrome with ST-segment elevation. Echocardiogram revealed pericardial effusion with preserved ejection fraction and absence of segmental abnormalities, thus suggesting acute pericarditis with myocardial involvement. Cardiac magnetic resonance was performed, showing non-ischemic late enhancement, confirming the diagnosis of perimiocarditis. This […]

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