Key result
Multiple LV aneurysms mimic diverticula following myocardial infarction with near-normal coronary arteries.
Why the study?
The distinction between cardiac aneurysms and diverticula is difficult by angiography, and the diagnosis of myocardial infarction with no obstructive atherosclerosis (MINOCA) has limitations with coronary angiography.
Case Report (n=1)
Highlights the difficulty in distinguishing cardiac aneurysms from diverticula by angiography and the limitations of angiography in diagnosing MINOCA.
Clinicians should consider LV aneurysms in the differential for apparent diverticula post-MI with normal coronaries; single case leaves open mechanistic questions.
The distinction between cardiac aneurysms and diverticula can be very difficult by angiography. Left ventricular (LV) aneurysms usually occur following transmural myocardial infarction. On the other hand, cardiac diverticula are most commonly congenital. They are commonly detected by cardiac CT with a prevalence of 2.2%. Here we present a case of a 60-year-old male with the incidental finding of multiple LV aneurysms masquerading as diverticula in the setting of myocardial infarction with near normal coronary arteries. Moreover, this case highlights the limitation of coronary angiography in the diagnosis of myocardial infarction with no obstructive atherosclerosis (MINOCA).
No takes yet. Share an insight, caveat, or question.
Alzayer et al. (2021) conducted a case report in Multiple left ventricular aneurysms masquerading as diverticula in the setting of myocardial infarction (n=1). A 60-year-old male was found to have multiple left ventricular aneurysms masquerading as diverticula in the setting of myocardial infarction with near normal coronary arteries.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:
More from Clinical Medicine Insights Cardiology