PMC4532117_01
Chest roentgenogram shows cardiomegaly and bilateral pleural effusions.
kjim-6-2-90-7f1.jpg
PMC4532117_01_kjim-6-2-90-7f1.jpg
f1-kjim-6-2-90-7
A chest roentgenogram showed cardioimegaly and bilateral pleural effusions (Fig. 1).
Electrocardiogram shows Q wave in leads V3-6 and II, III, aVF, and ST segment elevation in V3-5.
kjim-6-2-90-7f2.jpg
PMC4532117_01_kjim-6-2-90-7f2.jpg
f2-kjim-6-2-90-7
An electrocardiogram showed a Q wave in leads V3-V6, II, III, and aVF, along with ST segment elevation in V3-V5 (Fig. 2).
Echocardiogram shows apical dilatation and apical septal defect through which a jet flow tranverses.
kjim-6-2-90-7f3.jpg
PMC4532117_01_kjim-6-2-90-7f3.jpg
f3-kjim-6-2-90-7
On echocardiogram, apical dilatation and apical septal defect through which a jet flow traversed were noticed (Fig. 3).
PMC4532117_02
Electrocardiogram shows ST segment elevation in leads V1-6, aVL, aVF, and II.
kjim-6-2-90-7f4.jpg
PMC4532117_02_kjim-6-2-90-7f4.jpg
f4-kjim-6-2-90-7
April 1990, she had been admitted because of pleuritic chest pain in her left anterior chest. At admission, pericardial friction rub was noticed on chest auscultation, and the electrocardiogram showed ST segment elevation in leads V1-6, aVL, aVF, and II (Fig. 4).
Chest roentgenogram shows cardiomegaly and bilateral pleural effusions.
kjim-6-2-90-7f5.jpg
PMC4532117_02_kjim-6-2-90-7f5.jpg
f5-kjim-6-2-90-7
Electrocardiogram shows no remarkable findings except nonspecific ST-T wave change.
kjim-6-2-90-7f6.jpg
PMC4532117_02_kjim-6-2-90-7f6.jpg
f6-kjim-6-2-90-7
Echocardiogram shows A) a rupture into the pseudoaneurysmal sac from the lateral wall of the left ventricle on apical 4-chamber view, and B) turbulent flow through the rupture site on apical 4-chamber view.
kjim-6-2-90-7f7.jpg
PMC4532117_02_kjim-6-2-90-7f7.jpg
f7-kjim-6-2-90-7
A 2-dimentional echocardiogram suggested a defect in the left ventrcular wall with a surrounding aneurysmal sac which contained a suspicious echogenic mass (Fig. 7).
A) Left coronary angiogram shows a complete occlusion of distal circumflex artery and 30% stenotic lesion of mid-LAD (RAO 30 ). B) Right coronary angiogram shows 95% stenotic lesion of the posterior descending artery (LAO 60 ).
kjim-6-2-90-7f8.jpg
PMC4532117_02_kjim-6-2-90-7f8.jpg
f8-kjim-6-2-90-7
A coronary angiogram showed complete occlusion of the distal circumflex artery, 30% stenotic lesion of mid-LAD, and 95% stenotic lesion of the posterior descending artery(Fig. 8).
A) Lower power microscopic view of the wall of the false aneurysm It is composed of an outer layer of fibrinoid necrosis and an inner layer of severe fibrosis. There is no element of myocardial muscle. B) High power view, dense collagenous tissue and mononuclear cell infiltration.
kjim-6-2-90-7f9.jpg
PMC4532117_02_kjim-6-2-90-7f9.jpg
f9-kjim-6-2-90-7