Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2072
Título: Multiple Mechanical Complications in ST-Segment Elevation Myocardial Infarction with Angiographically Normal Coronary Arteries
Outros títulos: Enfarte Agudo do Miocárdio com Supradesnivelamento de ST com Múltiplas Complicações Mecânicas e Artérias Coronárias Angiograficamente Normais
Autor: Viveiros Monteiro, A
Galrinho, A
Branco, LM
Fragata, J
Cruz Ferreira, R
Palavras-chave: HSM CAR
HSM CCT
Coronary Angiography
Echocardiography
Heart Aneurysm/diagnostic imaging
Heart Aneurysm/etiology
ST Elevation Myocardial Infarction/complications
Severity of Illness Index
Data: 2015
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2015 Mar;34(3):209.e1-3
Resumo: This case report discusses an unusual presentation of ST-segment elevation myocardial infarction (STEMI) with normal coronary arteries and severe mechanical complications successfully treated with surgery. An 82-year-old man presented STEMI with angiographically normal coronary arteries and no major echocardiographic alterations at discharge. At the first month follow-up, he complained of fatigue and dyspnea, and contrast echocardiography complemented by cardiac magnetic resonance imaging revealed a large left ventricular apical aneurysm with a thrombus communicating by two jets of a turbulent flow to an aneurysmatic formation of the right ventricular apex. The patient underwent a Dor procedure, which was successful. Ventricular septal defects and ventricular aneurysms are rare but devastating complications of STEMI, with almost all patients presenting multivessel coronary artery disease. Interestingly in this case, the angiographic pattern was normal.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2072
Aparece nas colecções:CAR - Artigos
CCT - Artigos

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