Abstract
An 81-year-old woman was admitted due to acute pulmonary edema. The electrocardiogram
showed new Q-waves in anterior leads with ST-elevation in anterolateral leads. Coronary
angiogram showed a 100% occluded second diagonal branch with an image of systolic
and diastolic compression of the mid-to-distal portion of the left anterior descending
coronary artery (LAD) causing a long “bridgelike” effect. Ventriculography revealed
a giant aneurysm of the anterolateral wall. A 3-dimensional volume–rendered cardiac
computed tomography scan suggested that the aneurysm produced extrinsic compression
of the LAD.
Résumé
Une femme de 81 ans a été admise en raison d'un œdème pulmonaire aigu. L'électrocardiogramme
a montré de nouvelles ondes Q dans les dérivations antérieures en plus d'un sus-décalage
du segment ST dans les dérivations antérolatérales. La coronarographie a montré une
occlusion de la deuxième branche diagonale avec l'image d'une compression systolique
et diastolique de la portion moyenne à distale de l'artère coronaire descendante antérieure
gauche (DAG) causant un long effet de « pont ». Une ventriculographie a révélé un
anévrisme géant de la paroi antérolatérale. Une tomodensitométrie cardiaque a suggéré
que l'anévrisme avait produit une compression extrinsèque de la DAG.
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References
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- Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review.Tex Heart Inst J. 2010; 37: 699-705
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Article info
Publication history
Published online: October 05, 2011
Accepted:
July 16,
2011
Received:
April 11,
2011
Footnotes
See page 869.e17 for disclosure information.
Identification
Copyright
© 2011 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
