We describe the case of an 83-year-old patient requiring repair of a large symptomatic abdominal aortic aneurysm (AAA). The patient was known to have coronary artery disease (CAD) with symptoms and signs of significant myocardial dysfunction, left-heart failure, and severe aortic insufficiency. The procedure was performed with the help of both mechanical and pharmacological circulatory support....

A 5-year-old girl was admitted to the hospital with chest pain, fever and dyspnea. Physical examination showed normal heart sounds, diminished pulmonary sounds in the left hemithorax and a normal ECG. On chest X-ray the heart was slightly enlarged with moderate left pleural effusion. CT scan revealed pleural effusion and a hypodense mass at the apex of the heart. A cystic mass was detected...

Abdominal aortic aneurysm is a common condition that may be lethal when it is unrecognized. Current guidelines suggest repair as the aneurysm diameter reaches 5.0 to 5.5 cm. Most aortic aneurysms are detected incidentally when imaging is done for other purposes or through screening programs. Ninety percent of these aneurysms are below the threshold for intervention at the time of detection. A n...

Echocardiographic features of a patient with sinus of Valsalva aneurysm rupture into the right atrium are described. The aneurysm presented as a dense echo-producing mass in the right atrium which descended into the tricuspid orifice during diastole and withdrew back into the atrium during ventricular systole. Pulmonic valve exho motion demonstrated early diastolic pulmonic valve opening indica...

Ten cases of post-infarction cardiac aneurysm have been described in detail. Many of the patients had survived for several years after the infarction which was held to be responsible for the formation of the aneurysm. It is suggested that in most cases the diagnosis can be made on the basis of a PA chest radiograph combined with careful cardiac fluoroscopy. If surgery is contemplated because of...

We present a case of a 63-year-old patient referred to a cardiology consultation due to progressive symptoms of heart failure. He had a history of an inferior ST elevation acute myocardial infarction 6 years ago. Echocardiogram revealed a giant left ventricular aneurysm/pseudoaneurysm involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus. Additional char...

Advanced cardiac imaging is a valuable method to investigate cardiac malformations. The detection of the interventricular membranous septum has clinical significance due to thrombogenic and arrythmogenic predisposition, as well as a role in obstructing the pulmonary flow. This review describes six clinical presentations in which advanced cardiac imaging has been the tool for evaluation, with sp...

Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that may be congenital or acquired. We report the case of a 29-year-old female who presented with a three-month history of exertional dyspnea. Cardiac auscultation revealed a grade III/VI continuous murmur along the right sternal border. Transthoracic echocardiography revealed alternating jet-flows into the right atrium (RA) and right v...

The majority of left ventricular aneurysms occur as a consequence of ischaemic heart disease and healed myocardial infarction. Arrhythmias happen sometimes as complications of left ventricular aneurysm, and aneurysmectomy for the control of these arrhythmias was recently reported (Hunt, Sloman, and Westlake, I969). In contrast, aneurysm of the right ventricle is rare (Weglicki, Ruskin, and McIn...