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Eur J Cardiothorac Surg 2007;32:798. doi:10.1016/j.ejcts.2007.07.032
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Visualization of pseudoaneurysm of the left ventricle by magnetic resonance imaging

Clara Alexandrescu*, Fillipo Civaia, Vincent Dor

Cardio Thoracic Center Monaco, Monte Carlo, Monaco

Received 12 June 2007; received in revised form 19 July 2007; accepted 20 July 2007.

* Corresponding author. Address: Cardio Thoracic Center Monaco, Avenue d’Ostende 11 bis, Monte Carlo 98000, Monaco. Tel.: +377 92168292; fax: +377 92168292. (Email: clara_novara{at}yahoo.com).

Key Words: Pseudoaneurysm • Myocardial infarction • Magnetic resonance imaging

A 70-year-old man was admitted to our hospital with ongoing dyspnea and without chest pain. Coronary angiography demonstrated 90% stenosis of the circumflex artery and thrombosis of the first marginal (Fig. 1 ). Subsequent cine MRI showed large pseudoaneurysm results from the lateral wall rupture (Fig. 2 , Video I).


Figure 1
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  		Fig. 1. Coronary angiography demonstrated 90% stenosis LCX and thrombosis of the first marginal.

 

Figure 2
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  		Fig. 2. Cine MRI (ECG gated, SSFP—steady-state free precession technique) achieved in small breath-hold (the patient in stable condition hemodynamically, but long breath-hold is impossible) demonstrated rupture of the lateral wall at the level of the posterior papillary muscle.

 
Appendix A

Supplementary data

Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2007.07.032.





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