Myocardial infarction showing non-ischaemic late gadolinium enhancement pattern in the mid-septum: a case report-Reference-Cited by-同舟云学术

Myocardial infarction showing non-ischaemic late gadolinium enhancement pattern in the mid-septum: a case report

Published:2024-09-25 Issue:10 Volume:8 Page:
ISSN:2514-2119
Container-title:European Heart Journal - Case Reports
language:en
Short-container-title:

Author:

Tassetti Luigi¹^ORCID,Massa Ludovica²,Pontone Gianluca¹³^ORCID

Affiliation:

1. Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS , via Carlo Parea 4, 20138 Milan ,

2. Department of Biomedical Sciences and Community Health, University of Milan , via Mangiagalli 31, 20133 Milan ,

3. Department of Biomedical, Surgical and Dental Sciences, University of Milan , via della Commenda 10, 20122 Milan ,

Abstract

Abstract Background Cardiac magnetic resonance (CMR) is gaining an important role in the setting of acute coronary syndromes: it gives prognostic information based on oedema and late gadolinium enhancement (LGE) extension in acute myocardial infarction, and has a diagnostic value in myocardial infarction with nonobstructive coronary arteries (MINOCA) thanks to its capability to distinguish, based on different LGE patterns, ischaemic and non-ischaemic myocardial injuries. Case summary We describe a case of acute myocardial infarction involving a recurrent apical branch showing an atypical intramyocardial LGE pattern in the medium inferior septum. Discussion An intramyocardial LGE pattern might be determined by an ischaemic injury involving the interventricular septum. The knowledge of this misleading LGE pattern is important to adequately interpret CMR findings in this clinical setting.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytae535/59335301/ytae535.pdf

Reference10 articles.

1. 2023 ESC guidelines for the management of acute coronary syndromes;Byrne;Eur Heart J,2023

2. Cardiac MRI endpoints in myocardial infarction experimental and clinical trials: JACC scientific expert panel;Ibanez;J Am Coll Cardiol,2019

3. Diagnostic and prognostic role of cardiac magnetic resonance in MINOCA: systematic review and meta-analysis;Mileva;JACC Cardiovasc Imaging,2023

4. Clinical recommendations for cardiovascular magnetic resonance mapping of T1, T2, T2 and extracellular volume: a consensus statement by the Society for Cardiovascular Magnetic Resonance (SCMR) endorsed by the European Association for Cardiovascular Imaging;Messroghli;J Cardiovasc Magn Reson,2017

5. Isolated septal branch myocardial infarction due to coronary spasm mimicking non-ischemic late gadolinium enhancement pattern on cardiac magnetic resonance imaging;Iwakami;Circ J,2015