Role of contrast-enhanced magnetic resonance imaging in detecting early adverse remodeling and subacute ventricular wall rupture complicating myocardial infarction.
Ventricular free wall rupture is a catastrophic complication of acute myocardial infarction accounting for a significant proportion of in-patient deaths. Various imaging modalities including two-dimensional and contrast echocardiography have been applied for the early diagnosis of free wall rupture. Cardiac magnetic resonance imaging has recently gained favor as a tool providing accurate diagnosis and visualization of the site of rupture to enable planned surgery. We present a case of subacute free wall rupture where contrast enhanced myocardial resonance imaging helped to delineate the location and extent of the myocardial tear, thereby prompting appropriate surgical intervention.
Krishnan
Unni
U
Department of Cardiovascular Sciences, Clinical Sciences Wing, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE39QP, UK. uk12@le.ac.uk
McCann
Gerry P
GP
Hickey
Mark
M
Schmitt
Matthias
M
D000368:Aged; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005682:Gadolinium; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006352:Heart Ventricles / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D011868:Radioisotopes; D016277:Ventricular Function, Left / Q000502:physiology; D020257:Ventricular Remodeling / Q000502:physiology*
D011868:Radioisotopes; D005682:Gadolinium