全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Multi-Image Studies of Atypical Location of Ventricular Aneurysms and Survival: Clinical Cases Series

DOI: 10.4236/wjcd.2019.98045, PP. 524-537

Keywords: Aneurysm, Myocardial Infarction, Echocardiography, Cardiac Magnetic Resonance, Coronary Angiogram, Survival

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: A left ventricular aneurysm is a mechanical complication of a myocardial infarction that frequently develops on the anterior and apical wall. Survival of 3 to 5 years is 27% and 12%, respectively. Our objective is to report 3 cases of ventricular aneurysms in atypical locations and analyze the survival of these patients. Material and Methods: Three patients with suspicion of ventricular aneurysm after acute myocardial infarction who sought?attention at our institution were included. All underwent transthoracic echocardiograms (TTE), cardiac magnetic resonance (CMR), nuclear cardiology (NC),?coronary angiotomography and cardiac catheterization to assess the location and characteristics of the aneurysms, left ventricular systolic function and the?anatomical and functional condition of the coronary arteries. Results: The mean age of studied patients was 58.33 ± 10.37 years. The locations of the ventricular aneurysms were lateral, inferior and septal. The patients received optimal medical treatment to control heart failure and were discharged in stable condition without early mortality. The mean follow-up was 6.33 years (intervals: 2 - 9) and during this period the patients were in NYHA functional class I/II. Conclusion: Left ventricular aneurysm is a late mechanical complication of an infarction that can develop in an atypical location. Diagnosis is achieved using non-invasive techniques such as TTE, CMR, NC, and coronary angiotomography. No mortality occurred among the patients during medium and long-term

References

[1]  Xie, M., Zhou, H., Cheng, T.O., Wang, J., Wang, X., Lu, Q., et al. (2013) Left Ventricular Apical Aneurysm Associated with Normal Coronary Arteries Following Cardiac Surgery?: Echocardiographic Features and Differential Diagnosis. International Journal of Cardiology, 168, 3665-3670.
https://doi.org/10.1016/j.ijcard.2013.06.001
[2]  Maron, M.S., Finley, J.J., Bos, J.M., Hauser, T.H., Manning, W.J., Haas, T.S., et al. (2008) Prevalence, Clinical Significance, and Natural History of Left Ventricular Apical Aneurysms. Circulation, 118, 1541-1549.
https://doi.org/10.1161/CIRCULATIONAHA.108.781401
[3]  Dwivedi, A., Freedberg, R., Donnino, R. and Vainrib, A. (2017) Geriatric Presentation of Idiopathic Left Ventricular Aneurysm. CASE: Cardiovascular Imaging Case Reports, 1, 84-87.
https://doi.org/10.1016/j.case.2017.01.008
[4]  Durko, A.P., Budde, R.P.J., Geleijnse, M.L. and Kappetein, A. (2017) Recognition, Assessment and Management of the Mechanical Complications of Acute Myocardial Infarction. Heart, 104, 1-8.
https://doi.org/10.1136/heartjnl-2017-311473
[5]  Lang, R.M., Badano, L.P., Mor-Avi, V., Afilalo, J., Armstrong, A., Ernande, L., et al. (2015) Recommendation for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography, 28, 1-39.e14.
https://doi.org/10.1016/j.echo.2014.10.003
[6]  Valbuena-Lopez, S., Hinojar, R. and Puntmann, V.O. (2016) Cardiovascular Magnetic Resonance in Cardiology Practice: A Concise Guide to Image Acquisition and Clinical Interpretation. Revista Espanola de Cardiología, 69, 202-210.
https://doi.org/10.1016/j.rec.2015.11.011
[7]  Tilkemeier, P.L., Bourque, J., Doukky, R., Sanghani, R. and Weinberg, R.L. (2017) ASNC Imaging Guidelines for Nuclear Cardiology Procedures: Standardized Reporting of Nuclear Cardiology Procedures. Journal of Nuclear Cardiology, 24, 2064-2128.
https://doi.org/10.1007/s12350-017-1057-y
[8]  Patel, N., Patel, N.J., Macon, C.J., Thakkar, B., Desal, M., Rengifo-Moreno, P., et al. (2016) Trends and Outcomes of Coronary Angiography and Percutaneous Coronary Intervention after out-of-Hospital Cardiac Arrest Associated with Ventricular Fibrillation or Pulseless Ventricular Tachycardia. JAMA Cardiology, 1, 890-899.
https://doi.org/10.1001/jamacardio.2016.2860
[9]  Scanion, P.J., Faxon, D.P., Audet, A.M., Carabello, B., Dehmer, G.J., Eagle, K.A., et al. (1999) CC/AHA Guidelines for Coronary Angiography: Executive Summary and Recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) Developed in Collaboration with the Society for Cardiac Angiography and Interventions. Circulation, 99, 2345-2357.
https://doi.org/10.1161/01.CIR.99.17.2345
[10]  Haberheurer, A., Andreas, M., Wiedemann, D., Rath, C. and Kacher, A. (2013) Giant Lateral Left Ventricular Wall Aneurysm Sparing the Submitral Apparatus. Journal of Cardiothoracic Surgery, 8, 201.
https://doi.org/10.1186/1749-8090-8-201
[11]  Flam, B. and Albage, A. (2018) Large Inferolateral Left Ventricular Aneurysm. Annals of Cardiac Anaesthesia, 21, 68-70.
[12]  Yomn, N., Houissa, K., Banaser, A., Gharbaoui, M., Bekir, O., Daly, Y., et al. (2018) Interventricular Septal Aneurysm: An Exceptional Cause of Sudden Death in Young Adult. Journal of Forensic Sciences & Criminal Investigation, 8, Article ID: 555731.
https://doi.org/10.19080/JFSCI.2018.08.555731
[13]  Carcano, C., Kanne, J.P. and Kirsch, J. (2016) Interventricular Membranous Septal Aneurysm: CT and MR Manifestations. Insights Imaging, 7, 111-117.
https://doi.org/10.1007/s13244-015-0456-3
[14]  Kharwar, R.B., Sethi, R. and Chandra, S. (2015) Basal Interventricular Septal Aneurysm in Rheumatic Mitral Stenosis. Journal of Cardiovascular Ultrasound, 23, 52-53.
https://doi.org/10.4250/jcu.2015.23.1.52
[15]  Bisoyi, S., Dash, A.K., Nayak, D., Sahoo, S. and Mohapatra, R. (2016) Left Ventricular Pseudoaneurysm versus Aneurysm a Diagnosis Dilemma. Annals of Cardiac Anaesthesia, 19, 169-172.
https://doi.org/10.4103/0971-9784.173042
[16]  Farag, M., Lota, A., Rosendahl, U. and Roussin, I. (2019) Large Left Ventricular Apical Pseudoaneurysm: A Multimodal Imaging Approach Guiding Successful Diagnosis and Surgical Management. European Heart Journal—Case Reports, 3, ytz020.
https://doi.org/10.1093/ehjcr/ytz020
[17]  Frances, C., Romero, A. and Grady, D. (1998) Left Ventricular Pseudoaneurysm. Journal of the American College of Cardiology, 32, 557-561.
https://doi.org/10.1016/S0735-1097(98)00290-3
[18]  Abbara, S., Blanke, P., Maroules, C.D., Cheezum, M., Choi, A.D., Han, B.K., et al. (2016) SCCT Guidelines for the Performance and Acquisition of Coronary Computed Tomographic Angiography: A Report of the Society of Cardiovascular Computed Tomography Guidelines Committee Endorsed by the North American Society for Cardiovascular Imaging (NASCI). Journal of Cardiovascular Computed Tomography, 10, 435-449.
https://doi.org/10.1016/j.jcct.2016.10.002
[19]  Sharma, A. and Kumar, S. (2015) Overview of Left Ventricular Outpouchings on Cardiac Magnetic Resonance. Cardiovascular Diagnosis and Therapy, 5, 464-470.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133