Detection of pseudoaneurysm of the left ventricle by fast imaging employing steady-state acquisition (FIESTA) magnetic resonance imaging.
This report highlights the importance of interpretating images throughout the course of a dobutamine MRI stress test. Upon review of the baseline images, the left ventricular (LV) endocardium was not well seen due to flow artifacts associated with low intracavitary blood-flow velocity resulting from a prior myocardial infarction. Physicians implemented a cine fast imaging employing steady-state acquisition (FIESTA) technique that was not subject to low flow artifact within the LV cavity. With heightened image clarity, physicians unexpectedly identified a LV pseudoaneurysm.
Rerkpattanapipat
Pairoj
P
Department of Internal Medicine, Section on Cardiology, Wake Forest University School of Medicine, (Bowman Gray Campus), Medical Center Boulevard, Winston-Salem, NC 27157-1045, USA. prerkpat@wfubmc.edu
Mazur
Wojciech
W
Link
Kerry M
KM
Clark
Hollins P
HP
Hundley
W Gregory
WG
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis*; D025401:Echocardiography, Stress; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis; D011859:Radiography; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis