Microvascular obstruction complicating acute right ventricular myocardial infarction.
Details
Serval ID
serval:BIB_0FDCACF8F50D
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Microvascular obstruction complicating acute right ventricular myocardial infarction.
Journal
Journal of cardiovascular medicine
ISSN
1558-2035 (Electronic)
ISSN-L
1558-2027
Publication state
Published
Issued date
01/2015
Peer-reviewed
Oui
Volume
16 Suppl 1
Pages
S12-4
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
This case history describes a man with inferior myocardial infarction (MI) with right-ventricular involvement, treated with a right coronary artery stent. Magnetic resonance showed akinesia of left-ventricular inferior and inferolateral walls and right-ventricular inferior free wall with an impairment of global systolic function. There was late gadolinium enhancement (LGE) of left-ventricular inferior and inferolateral walls with microvascular obstruction (MVO). LGE of the right-ventricular inferior wall was seen with a hypointense core within hyperenhanced myocardium, consistent with MVO of the infarcted right-ventricular myocardium. At follow-up there was persistent akinesia of left-ventricular inferior and inferolateral walls and right-ventricular systolic dysfunction. LGE was still evident with resolution of MVO.
Keywords
Contrast Media, Coronary Vessels/diagnostic imaging, Coronary Vessels/pathology, Gadolinium, Heart Ventricles/pathology, Humans, Inferior Wall Myocardial Infarction/pathology, Inferior Wall Myocardial Infarction/therapy, Magnetic Resonance Angiography, Male, Microvessels/diagnostic imaging, Microvessels/pathology, Middle Aged, Percutaneous Coronary Intervention/methods, Radiography, Stents, Ventricular Function
Pubmed
Web of science
Create date
25/08/2017 20:31
Last modification date
20/08/2019 12:36