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Postinfarction Left Ventricular Aneurysm
Robert C. Groves, MD; John D. Grizzard, MD; Lowie M. R. Van Assche, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        TERMINOLOGY

        • Definitions

          • Akinetic or dyskinetic segment of well-demarcated, thin, scarred, and fibrotic myocardium resulting from healed transmural myocardial infarction (MI)

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Echocardiographic Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Yun CH et al: Improvements in left ventricular diastolic mechanics after parachute device implantation in patients with ischemia heart failure: a cardiac computerized tomographic study. J Card Fail. 23(6):455-63, 2017
                                      2. Costa MA et al: Percutaneous ventricular restoration using the parachute device in patients with ischemic heart failure: three-year outcomes of the PARACHUTE first-in-human study. Circ Heart Fail. 7(5):752-8, 2014
                                      3. Konen E et al: True versus false left ventricular aneurysm: differentiation with MR imaging--initial experience. Radiology. 236(1):65-70, 2005
                                      4. Weinsaft JW et al: LV thrombus detection by routine echocardiography: insights into performance characteristics using delayed enhancement CMR. JACC Cardiovasc Imaging. 4(7):702-12, 2011
                                      5. Heatlie GJ et al: Left ventricular aneurysm: comprehensive assessment of morphology, structure and thrombus using cardiovascular magnetic resonance. Clin Radiol. 60(6):687-92, 2005
                                      6. Shah DJ et al: Prevalence of regional myocardial thinning and relationship with myocardial scarring in patients with coronary artery disease. JAMA. 309(9):909-18, 2013
                                      7. Shriki JE et al: Incidental myocardial infarct on conventional nongated CT: a review of the spectrum of findings with gated CT and cardiac MRI correlation. AJR Am J Roentgenol. 198(3):496-504, 2012
                                      8. HA JW et al: Left ventricular aneurysm after myocardial infarction. Clin Cardiol. 21(12):917, 1998
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            TERMINOLOGY

                                            • Definitions

                                              • Akinetic or dyskinetic segment of well-demarcated, thin, scarred, and fibrotic myocardium resulting from healed transmural myocardial infarction (MI)

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Echocardiographic Findings

                                                      • Angiographic Findings

                                                        • Nuclear Medicine Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Yun CH et al: Improvements in left ventricular diastolic mechanics after parachute device implantation in patients with ischemia heart failure: a cardiac computerized tomographic study. J Card Fail. 23(6):455-63, 2017
                                                                          2. Costa MA et al: Percutaneous ventricular restoration using the parachute device in patients with ischemic heart failure: three-year outcomes of the PARACHUTE first-in-human study. Circ Heart Fail. 7(5):752-8, 2014
                                                                          3. Konen E et al: True versus false left ventricular aneurysm: differentiation with MR imaging--initial experience. Radiology. 236(1):65-70, 2005
                                                                          4. Weinsaft JW et al: LV thrombus detection by routine echocardiography: insights into performance characteristics using delayed enhancement CMR. JACC Cardiovasc Imaging. 4(7):702-12, 2011
                                                                          5. Heatlie GJ et al: Left ventricular aneurysm: comprehensive assessment of morphology, structure and thrombus using cardiovascular magnetic resonance. Clin Radiol. 60(6):687-92, 2005
                                                                          6. Shah DJ et al: Prevalence of regional myocardial thinning and relationship with myocardial scarring in patients with coronary artery disease. JAMA. 309(9):909-18, 2013
                                                                          7. Shriki JE et al: Incidental myocardial infarct on conventional nongated CT: a review of the spectrum of findings with gated CT and cardiac MRI correlation. AJR Am J Roentgenol. 198(3):496-504, 2012
                                                                          8. HA JW et al: Left ventricular aneurysm after myocardial infarction. Clin Cardiol. 21(12):917, 1998