Key result
Multimodal imaging identifies post-traumatic ventricular aneurysm and monitors long-term thrombus resolution.
Why the study?
Blunt myocardial injury can result in ventricular aneurysm with thrombosis, requiring multimodal imaging for accurate diagnosis.
Case Report (n=1)
This case highlights the utility of a multimodal imaging approach in diagnosing and monitoring rare structural complications such as ventricular aneurysm and thrombosis following blunt cardiac injury.
Blunt cardiac injury can produce LV aneurysm with apical thrombus; this case extends imaging descriptions but leaves optimal surveillance protocols open.
This article presents the case of a male patient who sustained blunt myocardial injury following a traffic accident. A series of diagnostic imaging procedures were conducted on the patient, including electrocardiography, echocardiography, computed tomography angiography, and cardiac magnetic resonance imaging, which demonstrated edema in a portion of the myocardium and the formation of a ventricular aneurysm with thrombus in the left ventricular apex. After 6 months and 1 year, echocardiography demonstrated no detection of thrombus, but the apical left ventricular aneurysm was not significantly different from the anterior film, leading to a final clinical diagnosis of blunt cardiac injury (BCI).
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Fu et al. (2025) conducted a case report in Blunt myocardial injury (n=1). Multimodal imaging (ECG, echocardiography, CTA, cardiac MRI) was evaluated on Detection of ventricular aneurysm with thrombus. Multimodal imaging successfully diagnosed an apical ventricular aneurysm with thrombosis after blunt myocardial injury, with thrombus resolution but persistent aneurysm at 1-year follow-up.
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