Microvascular obstruction complicating acute right ventricular myocardial infarction.

Détails

ID Serval
serval:BIB_0FDCACF8F50D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Microvascular obstruction complicating acute right ventricular myocardial infarction.
Périodique
Journal of cardiovascular medicine
Auteur(s)
Andreini D., Pontone G., Mushtaq S., Pepi M., Bogaert J., Masci P.G.
ISSN
1558-2035 (Electronic)
ISSN-L
1558-2027
Statut éditorial
Publié
Date de publication
01/2015
Peer-reviewed
Oui
Volume
16 Suppl 1
Pages
S12-4
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
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.

Mots-clé
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
Création de la notice
25/08/2017 21:31
Dernière modification de la notice
20/08/2019 13:36
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