Document Detail

Biventricular apical thrombi demonstrated by contrast-enhanced cardiac MRI following anteroapical STEMI and unsuccessful reperfusion therapy.
MedLine Citation:
PMID:  18685749     Owner:  NLM     Status:  MEDLINE    
Contrast-enhanced cardiac magnetic resonance imaging can define the territory and extent of myocardial infarction from patterns of late gadolinium enhancement. Following failure to reperfuse with thrombolytic therapy, a case of myocardial infarction is described in which ongoing symptoms and an electrocardiogram change led to a diagnostic dilemma. Cardiac magnetic resonance imaging confirmed an apical infarction, an aneurysm and acute pericarditis. In addition, late gadolinium enhancement unexpectedly revealed the presence of biventricular apical thrombi. The prevalence of cardiac thrombi and pulmonary emboli may be greater than generally appreciated.
William Keeble; Isabelle Vondermuhll; Ian Paterson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  24     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-07     Completed Date:  2008-08-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e51-3     Citation Subset:  IM    
University of Alberta Hospital, Edmonton, Alberta.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Anticoagulants / therapeutic use
Contrast Media / administration & dosage
Coronary Angiography
Diagnosis, Differential
Gadolinium / diagnostic use
Heart Aneurysm / diagnosis*
Heart Ventricles* / pathology
Image Enhancement*
Magnetic Resonance Imaging*
Middle Aged
Myocardial Infarction / diagnosis*,  therapy*
Thrombosis / diagnosis*,  drug therapy
Warfarin / therapeutic use
Reg. No./Substance:
0/Anticoagulants; 0/Contrast Media; 7440-54-2/Gadolinium; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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