Failure of gated SPECT and echocardiography to detect large apical aneurysm secondary to hyperdynamic left ventricular wall at the aneurysm neck

Mohammad R Movahed, John Vu, Paul Lizotte

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We present a patient with a history of coronary artery disease and exertional angina after an acute anterior myocardial infarction. Angiography and ventriculography revealed multivessel coronary artery disease and a large apical aneurysm. Echocardiography and gated SPECT studies were performed for further evaluation of ischemia and assessment of left ventricular function. Gated SPECT and echocardiography failed to detect a large apical aneurysm due to a hyperdynamic left ventricular wall at the neck of the aneurysm. This case demonstrates the importance of using multiple imaging modalities in the evaluation of ventricular function in the setting of coronary artery disease.

Original languageEnglish (US)
Pages (from-to)250-254
Number of pages5
JournalCardiovascular Revascularization Medicine
Volume7
Issue number4
DOIs
StatePublished - Oct 2006
Externally publishedYes

Fingerprint

Single-Photon Emission-Computed Tomography
Aneurysm
Echocardiography
Coronary Artery Disease
Ventricular Function
Left Ventricular Function
Angiography
Ischemia
Myocardial Infarction

Keywords

  • Apical aneurysm
  • Echocardiography
  • Gated SPECT
  • Review
  • Ventriculography

ASJC Scopus subject areas

  • Molecular Medicine
  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

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AB - We present a patient with a history of coronary artery disease and exertional angina after an acute anterior myocardial infarction. Angiography and ventriculography revealed multivessel coronary artery disease and a large apical aneurysm. Echocardiography and gated SPECT studies were performed for further evaluation of ischemia and assessment of left ventricular function. Gated SPECT and echocardiography failed to detect a large apical aneurysm due to a hyperdynamic left ventricular wall at the neck of the aneurysm. This case demonstrates the importance of using multiple imaging modalities in the evaluation of ventricular function in the setting of coronary artery disease.

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