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aneurysm of posterior wall caused by myocardial infarction

added by Emmel

aneurysm of posterior wall caused by myocardial infarction
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Posted By: Emmel (1036 days ago)

Hello Diego!! Thanks for comment!
Before we did cardiac catheter
we thought about the possible diferential diagnosis, but I couldn´t
find plausible diagnoses. In uptodate.com I found only the
Chagas-disease as a typical disease that cause posterior aneurysms.
Sarcoidosis, systemic disease - especially chronic granulomatous
diseases - cause apical aneurysms.
Actually the patient has a
severe coronary disease and need a bypass-op, but I don´t know,
whether cardiac surgeons want to remove the aneurysm. But I think in
that case that will do remove aneurysm.
But you are very right:
If the patient hasn´t got a coronary disease we wouldn´t recommend
an op of aneurysm. I found no hard recommendation regarding
asymptomatic cardiac aneurysms in current guidlines.

Posted By: diego (1036 days ago)

Nice vid Jorg . This finding shows that WE MUST EVALUATE THE WHOLE
HEART . NO VIEW SHOULD BE MISSED . NEVER
ABOUT THERAPEUTICAL
OPTIONS?????? I DON?T KNOW ....IN CASE THE PATIENT IS TOTALLY
ASYMPTOMATIC AND IN GOOD HEALTH PROBABLY I WOULD STAY OUT OF SURGICAL
REPAIR . I AM NOT A CARDIOLOGIST BUT I AM NOT SURE IF A SURGICAL
FIXWOULD BE THE BETTER OPTION . THE HEART IS ALREADY REMODELLED MAYBE
I WOULD SEARCH FOR A PHARMACOLOGICAL OPTIMIZATION OF THIS CONDITION :
ABOUT CORONARY DISEASE .....IT?S A DIFFERENT APPROACH THAN THE
ANEURYSMAL REMODELLING
THANKS FOR SHARING BUT I AM ONLY AN
INTENSIVIST OF A TRAUMA ICU I HAVE NO SPECIFIC SKILLS AND EXPERTISE

Posted By: Emmel (1036 days ago)

Sorry for the interruptions of that vid. I did have some problems with
conversion of of my echo-vids.


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Added: 18-02-2012
Runtime: 0m 5s
Views: 7899
Comments: 3

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Description

about 50 y old patient with incidental finding of posterior wall myocardial aneurysm. The patient hasn´t got any cardial symptomy or afflictions. No stay abroad in clinical history (Chagas-disease as a diferential diagnosis). In cardiac catheter we found a severe coronary disease. What do you think about therapeutical options of such a kind of myocardial aneurysm.


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