BACKGROUND Early reperfusion in the acute phase of myocardial infarction and better medical treatment of consequent heart failure and tachyarrhythmia have decreased the incidence of massive myocardial infarction, left ventricular (LV) aneurysm and also postinfarction-sustained ventricular tachycardia (VT). However, for a number of patients, surgical ablation combined with aneurysm resection and...

DISSECTING aneurysm of the aorta has long been recognized as a disease entity, and is ordinarily regarded as a rapidly fatal condition. A certain proportion of dissecting aneurysms redissect into the lumen of the aorta, forming the so-called "double-barreled" aorta. Occasional cases of dissecting aneurysm have survived for a considerable period after the acute episode, many of them being of the...

A 32-year-old female presented with a 6-month history of worsening non-productive chronic cough and palpitations on moderate exercise. Chest X-ray showed an increased cardiothoracic ratio with a prominent left heart border. She underwent transthoracic echocardiography in which a large cystic structure with compressive effect on the left ventricle was identified (Fig. 1a). Further evaluation by ...

Aneurysm of sinus of Valsalva is a rare cardiac abnormality with congenital origin in most of the cases. If it is located in the right coronary sinus, it usually ruptures into a right heart chamber and frequently a ventricular septal defect (VSD) coexists with this condition. Early diagnosis and immediate surgical treatment can save the patient's life in most cases. All the 3 cases reported in ...

I. Fortuin NJ, Friesinger GC: Exercise-induced S-T segment elevation: Clinical, electrocardiographic and arteriographic studies in twelve patients. Am J Med 49: 459, 1970 2. MacAlpin RN, Kattus AA, Alvaro AB: Angina pectoris at rest with preservation of exercise capacity: Prinzmetal's variant angina. Circulation 47: 946, 1973 3. Gorlin R, Klein MD, Sullivan JM: Prospective correlative study of ...

I. Fortuin NJ, Friesinger GC: Exercise-induced S-T segment elevation: Clinical, electrocardiographic and arteriographic studies in twelve patients. Am J Med 49: 459, 1970 2. MacAlpin RN, Kattus AA, Alvaro AB: Angina pectoris at rest with preservation of exercise capacity: Prinzmetal's variant angina. Circulation 47: 946, 1973 3. Gorlin R, Klein MD, Sullivan JM: Prospective correlative study of ...

1Consultant, 2Principal Consultant, 3Jr Consultant, 4Director, 5Assoc. Director and HOD, Fortis Escorts Heart Institute, Department of Noninvasive Cardiology, New Delhi Received: 19.02.2013; Accepted: 29.09.2013 Fig. 1 : TTE: Panel A and B showing the aneurysm (encircled) collapsed in diastole and expanded in systole. Panel C: Aortic regurgitation. Panel D and E: Fistulous communication between...

A hemodialysis patient presented with an abnormal CXR (Panel A) 13 years after coronary artery bypass grafting and a CT scan was performed (Panel B). Maximal-intensity-projection (Panel C) and 3D reconstructions (Panel D) revealed a large aneurysm, containing thrombus, arising from the vein graft to his right coronary artery (Fig. 1). Fig. 1. (A) Chest radiograph (PA) showing the abnormal right...

Autosomal dominant polycystic kidney disease (ADPKD) is associated with vascular aneurysms that can affect any part of the vascular tree, like ascending aorta or coronary arteries. Sinus of Valsalva is known as an anatomical dilation at the root of aorta above the aortic valve and very few cases show aneurysm at that site in patients with ADPKD. Sinus of Valsalva aneurysm (SVA) can present with...