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Updated: Oct 7, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Intramyocardial echo-free space with a turbulent flow within, suggestive of an aneurysmal coronary artery

Negar Omidi1, Golnaz Houshmand2, Hamidreza Pourhosseini1

  • 1Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, I.R. Iran.

Echocardiography (Mount Kisco, N.Y.)
|January 10, 2022
PubMed

Insights

Intramyocardial coronary artery aneurysms are rare. This case highlights an incidentally found aneurysm in the left anterior descending artery, detected via multimodality imaging.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Vascular Biology

Background:

  • Coronary artery aneurysms are recognized vascular abnormalities.
  • Intramyocardial coronary artery aneurysms represent a rare subtype, often presenting diagnostic challenges.

Observation:

  • A case of an incidentally detected intramyocardial aneurysm in the left anterior descending artery is presented.
  • The patient was a 32-year-old male experiencing atypical chest pain.
  • Multimodality imaging was utilized for evaluation.

Findings:

  • The aneurysm was located within the heart muscle (intramyocardial).
  • An echo-free space within the myocardium was a key imaging finding.
  • This finding suggests a potential diagnostic marker for intramyocardial aneurysms.

Implications:

  • This case expands the understanding of rare coronary artery pathologies.
  • Multimodality imaging plays a crucial role in diagnosing intramyocardial coronary artery aneurysms.
  • Identifying intramyocardial echo-free spaces may aid in early detection and management.

Keywords:
cardiac magnetic resonance imagingcoronary artery aneurysmechocardiography

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