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Multi-modality Imaging of a relapsing Mycotic post-infarction left ventricular pseudoaneurysm after surgical repair

Mantini, Cesare ; Olivieri, Marzia ; Procaccini, Luca ; Ricci, Fabrizio LU and Cademartiri, Filippo (2022) In Acta Biomedica 93.
Abstract

Mycotic left ventricular pseudoaneurysm (LVP) is an uncommon life-threatening condition, resulting from myocardial rupture contained by the pericardium or scar tissue. Myocardial infarction is the leading cause of LVP, followed by cardiac surgery, previous chest trauma and infections. We present a case of a 69-year-old woman who developed a relapsing post-infarction LVP arising from mid infero-septal left ventricular wall. Such condition had been already treated with surgical repair 5-years earlier. Multiple non-invasive imaging modalities demonstrated its anatomy and localization. LVP is a challenging diagnosis due to the lack of specific symptoms and an insidious clinical presentation. Cardiac MR (CMR) allows an optimal LVP diagnosis... (More)

Mycotic left ventricular pseudoaneurysm (LVP) is an uncommon life-threatening condition, resulting from myocardial rupture contained by the pericardium or scar tissue. Myocardial infarction is the leading cause of LVP, followed by cardiac surgery, previous chest trauma and infections. We present a case of a 69-year-old woman who developed a relapsing post-infarction LVP arising from mid infero-septal left ventricular wall. Such condition had been already treated with surgical repair 5-years earlier. Multiple non-invasive imaging modalities demonstrated its anatomy and localization. LVP is a challenging diagnosis due to the lack of specific symptoms and an insidious clinical presentation. Cardiac MR (CMR) allows an optimal LVP diagnosis due to its high spatial resolution and tissue characterization capabilities; CMR can also evaluate the pericardium, thrombi and the discontinuity of the myocardium. It is important to reduce the risk of LVP rupture; surgical repair is indicated in all acute cases of myocardial infarction. In chronic cases surgical repair is indicated for symptomatic patients, those diagnosed recently (<3 months), and those with large (>3 cm) or progressively expanding pseudoaneurysms. (www.actabiomedica.it).

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acute coronary syndrome, cardiac magnetic resonance, CMR, coronary artery bypass graft surgery, imaging, left ventricular pseudoaneurysm, ventricular septal defect
in
Acta Biomedica
volume
93
article number
e2022112
publisher
Mattioli 1885
external identifiers
  • scopus:85209180746
ISSN
0392-4203
DOI
10.23750/abm.v93iS1.11032
language
English
LU publication?
yes
id
f1d235c9-6a46-4d97-a0fd-7f1cdd6adad1
date added to LUP
2025-02-21 13:58:58
date last changed
2025-04-04 15:22:00
@article{f1d235c9-6a46-4d97-a0fd-7f1cdd6adad1,
  abstract     = {{<p>Mycotic left ventricular pseudoaneurysm (LVP) is an uncommon life-threatening condition, resulting from myocardial rupture contained by the pericardium or scar tissue. Myocardial infarction is the leading cause of LVP, followed by cardiac surgery, previous chest trauma and infections. We present a case of a 69-year-old woman who developed a relapsing post-infarction LVP arising from mid infero-septal left ventricular wall. Such condition had been already treated with surgical repair 5-years earlier. Multiple non-invasive imaging modalities demonstrated its anatomy and localization. LVP is a challenging diagnosis due to the lack of specific symptoms and an insidious clinical presentation. Cardiac MR (CMR) allows an optimal LVP diagnosis due to its high spatial resolution and tissue characterization capabilities; CMR can also evaluate the pericardium, thrombi and the discontinuity of the myocardium. It is important to reduce the risk of LVP rupture; surgical repair is indicated in all acute cases of myocardial infarction. In chronic cases surgical repair is indicated for symptomatic patients, those diagnosed recently (&lt;3 months), and those with large (&gt;3 cm) or progressively expanding pseudoaneurysms. (www.actabiomedica.it).</p>}},
  author       = {{Mantini, Cesare and Olivieri, Marzia and Procaccini, Luca and Ricci, Fabrizio and Cademartiri, Filippo}},
  issn         = {{0392-4203}},
  keywords     = {{acute coronary syndrome; cardiac magnetic resonance; CMR; coronary artery bypass graft surgery; imaging; left ventricular pseudoaneurysm; ventricular septal defect}},
  language     = {{eng}},
  publisher    = {{Mattioli 1885}},
  series       = {{Acta Biomedica}},
  title        = {{Multi-modality Imaging of a relapsing Mycotic post-infarction left ventricular pseudoaneurysm after surgical repair}},
  url          = {{http://dx.doi.org/10.23750/abm.v93iS1.11032}},
  doi          = {{10.23750/abm.v93iS1.11032}},
  volume       = {{93}},
  year         = {{2022}},
}