Left Ventricular Aneurysm Perforating into the Right Ventricle: A Rare Complication of a Small Side Branch Occlusion after Elective Percutaneous Coronary Intervention
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Author(s)
Moore, Peter
Burrage, Matthew
Mundy, Julie
Wahi, Sudhir
Dahiya, Arun
Cox, Stephen
Griffith University Author(s)
Year published
2018
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Show full item recordAbstract
The incidence of mechanical complications of acute myocardial infarction (MI) has lessened significantly in the reperfusion era. They most commonly result from complete occlusion of a major coronary artery. We present a unique case of concomitant left ventricular aneurysm (LVA) formation and ventricular septal rupture (VSR) requiring open surgical repair after occlusion of a small (caliber < 1 mm) diagonal branch artery during successful elective stenting of the left anterior descending coronary artery (LAD). Multimodality imaging was integral to the correct diagnosis and therefore treatment of this rare pathology.The incidence of mechanical complications of acute myocardial infarction (MI) has lessened significantly in the reperfusion era. They most commonly result from complete occlusion of a major coronary artery. We present a unique case of concomitant left ventricular aneurysm (LVA) formation and ventricular septal rupture (VSR) requiring open surgical repair after occlusion of a small (caliber < 1 mm) diagonal branch artery during successful elective stenting of the left anterior descending coronary artery (LAD). Multimodality imaging was integral to the correct diagnosis and therefore treatment of this rare pathology.
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Journal Title
CASE (Phila)
Volume
2
Issue
1
Copyright Statement
© 2017 by the American Society of Echocardiography. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Subject
Clinical sciences
Computed tomography
Left ventricular aneurysm
Magnetic resonance imaging
Myocardial infarction
Ventricular septal rupture