Left Ventricular Aneurism. See a little discussion
 | This is a cardiac MRI of a 59 yo male patient. He have had an extensive anterior myocardial infarction 5 months earlier and is now with pharmacological treatment in NYHA class II. His ECG reveals a ST segment elevation at rest in precordial leads See a movie of this exam(225Kb) |
Shoko Senda-Hirosaki-Japan
Eduardo Gaio - Brazil - Brasília
Coen van Guldener, Amsterdam, the Netherlands
Felipe Amadeu-RJ-Brasil
Aurora - Brazil - Rio de Janeiro
Marcelo Goes - Brazil - Bahia
Priscila Silveira Martins-Brasil-RJ
Marcelo Kalichsztein - Brasil - RJ
LEANDRO E. LEITAO
Raj Satyanarayana, M.D. Saint Louis, Missouri USA
Lincoln Henrique Costa - Brasil - Goiás
Carlos Eduardo Magalhães-Brasil-Rio de Janeiro
julio lutterbach
tushar dandade and louis freeman - USA - Puerto Rico
Nilson Araujo-Brasil-Rj
Hélio Miot - Brazil - Florianópolis
Manoel Alexandre F. Toledo
About 15 percent of patients surviving an acute infarction develop a left ventricular aneurysm. The infarcted zone may evaginated and heal with fibrous connective tissue, forming a "fifth chamber" attached to the left ventricle.
In the case presented here there is a large new chamber that is bigger than the others. Although a lot of participants make the correct diagnosis the great majority could not see the aneurysm.
So, we decided to indicate in the MRI scan with white arrows the neck of the aneurysm and with an * the aneurysm
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