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Ritter, C; Beer, M; Weidernann, F; Strotmann, J; Mullges, W; Mohr, FW; Ertl, G; Hahn, D; BauersachS, J.
Large left ventricular aneurysm after silent myocardial infraction on: documentation by serial non-invasive imaging
Dtsch Med Wochenschr. 2008; 133(13):633-635
Doi: 10.1055/s-2008-1067296
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Beer Meinrad
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- Abstract:
- History and clinical findings: A 60-year-old man had a workup for atypical angina. Noninvasive investigations, including computed tomography, showed no evidence for coronary artery disease. A few months later the patient was hospitalized because of severe epileptic seizures. Thyrotoxicosis was diagnosed and emergency thyroidectomy was performed. Two months after discharge the patient was again referred because of exercise-incluced angina pectoris. Investigations and diagnosis: Echocardiography and cardiac magnetic resonance imaging (MRI) showed a large aneurysm of the lateral wall of the left ventricle with a thrombus adhering to the wall. Coronary angiography and levocardiography confirmed the aneurysm and detected an occlusion of the distal part of the circumflex artery. Treatment and course: Surgical aneurysm resection with thrombectomy and endoventricular circular plasty (Dor procedure) was performed without postoperative complications. Six months after surgery the patient was in good general condition without any angina. Follow-tip echocardiography as well as cardiac MRI gave proof of an excellent postoperative result. Conclusions: Noninvasive preoperative diagnosis and documentation as well as postoperative monitoring with modern imaging modalities, such as echocardiography and MRI are of great value in patients with left ventricular aneurysm.
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Coronary Angiography -
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Diagnosis, Differential -
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Echocardiography -
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Heart Aneurysm - diagnosis Heart Aneurysm - radiography Heart Aneurysm - surgery Heart Aneurysm - ultrasonography
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Heart Diseases - complications Heart Diseases - diagnosis Heart Diseases - surgery
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Heart Ventricles -
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Humans -
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Magnetic Resonance Imaging -
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Male -
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Middle Aged -
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Myocardial Infarction - complications Myocardial Infarction - diagnosis Myocardial Infarction - surgery
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Thrombectomy -
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Thrombosis - complications Thrombosis - diagnosis Thrombosis - surgery
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Thyroidectomy -
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Thyrotoxicosis - complications Thyrotoxicosis - surgery
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Treatment Outcome -
- Find related publications in this database (Keywords)
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aneurysm
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myocardial infarction
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multislice computed tomography
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magnetic resonance tomography