Cardiac CT for intraseptal pseudoaneurysm: impending double rupture of ventricular septum and left ventricular free wall
| Autor: | Aya Higurashi, Asako Sakurai, Hiroshi Yamada, Kohji Takeda |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Heart Ventricles Article Ventricular Septal Rupture Pseudoaneurysm Fatal Outcome Imaging Three-Dimensional Aneurysm Takotsubo Cardiomyopathy Internal medicine medicine Humans Myocardial infarction Four-Dimensional Computed Tomography Heart Aneurysm Aged Rupture Spontaneous business.industry Cardiogenic shock General Medicine medicine.disease medicine.anatomical_structure Ventricle cardiovascular system Cardiology Female Radiology Tomography X-Ray Computed business Complication Aneurysm False |
| Zdroj: | Case Reports. 2015:bcr2014207352-bcr2014207352 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2014-207352 |
| Popis: | A 71-year-old woman presented at our hospital with chest discomfort. Cardiac CT showed an impending double rupture; an intraseptal pseudoaneurysm had ruptured into the right ventricle, while the left ventricular free wall remained intact at this stage. After admission, the patient fell into cardiogenic shock. Emergency surgery was performed. The intraoperative findings included a double rupture of the ventricular septum and the left ventricular free wall. Double rupture is a rare but fatal complication of myocardial infarction. Early diagnosis is essential. Recently, cardiac CT has emerged as a valuable tool for patients with possible ischaemic disease. In this case, enhanced cardiac CT showed an impending double rupture of junctional-type. The static and dynamic images of intraseptal pseudoaneurysm by two-dimensional (2-D) CT, 3-D CT and 4-D CT presented here provide insights into the mechanisms behind, and the pathophysiology of, double ruptures. They also demonstrate the significance of cardiac CT for evaluating ischaemic heart disease. |
| Databáze: | OpenAIRE |
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