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J. Cardiothorac. Vasc. Anesth. · May 2020
Case ReportsA Rapid Development of a Right Ventricular Aneurysm Postmyocardial Infarction.
- Jamel Ortoleva, Kelly Ohlrich, and Masashi Kawabori.
- Tufts Medical Center, Anesthesiology and Critical Care, Boston, MA.
- J. Cardiothorac. Vasc. Anesth. 2020 May 1; 34 (5): 1377-1379.
AbstractMyocardial infarctions may cause ventricular aneurysms. Ischemia-induced ventricular changes are more common in the left ventricle owing to the larger vascular supply, greater volume of myocardium, and increased intra-ventricular pressure. Ischemia-induced right ventricular free wall abnormalities are rare owing to the lower ventricular pressure. The authors describe the echocardiographic progression of a right ventricular ischemic aneurysm resulting from an ST-elevated myocardial infarction in a 71- year-old man. In this E-Challenge, the authors will review the echocardiographic findings and pathophysiology of ischemic aneurysms.Copyright © 2019 Elsevier Inc. All rights reserved.
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