Related Experiment Video

Updated: Oct 3, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.7K

An Unusual Case of Multiple Left Ventricular Aneurysms Masquerading as Diverticula in the Setting of Myocardial

Hussain Alzayer1, Ahmad Alshatti1, Akeel Alali2

  • 1Division of Cardiology, Hamilton General Hospital, McMaster University, Hamilton Health Sciences, Hamilton, ON, Canada.

Clinical Medicine Insights. Cardiology
|February 17, 2022
PubMed

Insights

Distinguishing cardiac aneurysms from diverticula is challenging. This case shows left ventricular aneurysms mimicking diverticula after myocardial infarction, highlighting angiography limitations in MINOCA diagnosis.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Cardiac aneurysms and diverticula are distinct entities, often difficult to differentiate using traditional angiography.
  • Left ventricular (LV) aneurysms typically arise post-myocardial infarction, whereas cardiac diverticula are usually congenital.

Observation:

  • A 60-year-old male presented with multiple LV aneurysms incidentally found during evaluation for myocardial infarction.
  • These aneurysms mimicked cardiac diverticula on imaging.
  • Coronary arteries showed near-normal findings, suggesting myocardial infarction with no obstructive atherosclerosis (MINOCA).

Findings:

  • The case demonstrates LV aneurysms presenting atypically, challenging standard diagnostic criteria.
  • Coronary angiography proved insufficient for definitive diagnosis in this MINOCA scenario.
  • Cardiac CT is noted for its higher prevalence detection of cardiac diverticula.

Implications:

  • This highlights the limitations of coronary angiography in diagnosing MINOCA.
  • Advanced imaging modalities may be crucial for differentiating LV aneurysms from diverticula.
  • Accurate diagnosis is essential for appropriate patient management and understanding of cardiac pathologies.

Keywords:
Aneurysmdiverticulamyocardial infarction

More Related Videos

Multimodality Diagnosis of Mesenteric Ischemia05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

776
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.7K

Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
37
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
71
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
4.7K
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
43
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
72
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
63