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
Title
Microvascular obstruction complicating acute right ventricular myocardial infarction.
Journal
Journal of cardiovascular medicine
Author(s)
Andreini D., Pontone G., Mushtaq S., Pepi M., Bogaert J., Masci P.G.
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
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 21:31
Last modification date
20/08/2019 13:36
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