Skip Navigation

European Journal of Echocardiography 2005 6(2):146-147; doi:10.1016/j.euje.2004.09.007
This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Mangano, S.
Right arrow Articles by Carerj, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mangano, S.
Right arrow Articles by Carerj, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Copyright © 2005, The European Society of Cardiology

Double subepicardial aneurysm after myocardial infarction

S. Manganoa,*, V. Mazzeia, S. Raffab, A. Micarib, G. Oretob and S. Carerjb

aDepartment of Cardiovascular Diseases, Papardo Hospital, Messina, Italy
bInstitute of Cardiology, University of Messina, Italy

Received 2 March 2004; received in revised form 9 September 2004; accepted after revision 15 September 2004.

santi.mangano{at}tiscali.it

* Corresponding author. Via G. Garibaldi, 110, 98122 Messina, Italy. Tel.: +39 90717383; fax: +39 1786016346.


   Abstract
Top
 Abstract
References
 
The echocardiogram of 68-year old man, admitted with an acute myocardial re-infarction revealed the presence, in the middle-apical region of the lateral wall, of two little and contiguous subepicardial aneurysms.

Keywords: Echocardiography; Myocardial infarction; Aneurysm

A 68-year-old man, suffering from diabetes mellitus and hypertension, was admitted with an acute myocardial re-infarction. The echocardiogram revealed akinesia of the anterior, posterior and lateral walls, apical diskinesia and left ventricular dysfunction (LVEF 30%).

In the middle-apical region of the lateral wall two little and contiguous subepicardial aneurysms were present (see Fig. 1). They were characterized by an abrupt interruption of the myocardium at the neck of the aneurysm and by a diverticulum surrounded by normal epicardial layers.1 The incidence of subepicardial aneurysms among patients who died from a myocardial infarction ranges from 0.3 to 1%; and myocardial rupture occurs in about two-thirds of them.2


Figure 1
View larger version (74K):
[in this window]
[in a new window]
[Download PowerPoint slide]
  		Figure 1 Apical four chamber view. Two subepicardial aneurysms (arrows) surrounded by subepicardial layers are seen in the lateral wall of the left ventricle. LV: left ventricle; RV: right ventricle.

 
This shows the simultaneous development of two distinct subepicardial aneurysms in the same infarcted wall.


   References
Top
 Abstract
 References
 

  1. Epstein J.I., Hutchins G.M. Subepicardial aneurysms: a rare complication of myocardial infarction. Am J Med (1983) 75:639–644.[CrossRef][Web of Science][Medline]
  2. Bunch T.J., Oh J.K., Click R.L. Subepicardial aneurysm of the left ventricle. J Am Soc Echocardiogr (2003) 16:1318–1321.[CrossRef][Web of Science][Medline]

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?



This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Mangano, S.
Right arrow Articles by Carerj, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mangano, S.
Right arrow Articles by Carerj, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?