Coronary artery thromboembolism as a result of left ventricular sump aneurysm after congenital heart surgery Timothy B. Cotts, MD, Felix J. Rogers, DO,

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Presentation transcript:

Coronary artery thromboembolism as a result of left ventricular sump aneurysm after congenital heart surgery Timothy B. Cotts, MD, Felix J. Rogers, DO, Gisela C. Mueller, MD, Sharlene M. Day, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 5, Pages e119-e121 (November 2012) DOI: 10.1016/j.jtcvs.2012.08.035 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Left ventriculogram from initial catheterization showing LV apical aneurysm with filling defect (arrow). B, Injection of right coronary artery 5 months later at the time of presentation with inferior ST-elevation myocardial infarction. Arrows indicate abrupt occlusion of posterior descending and posterior lateral arteries. C, Left ventriculogram showing persistence of LV apical aneurysm, but without the filling defect seen previously. D, Cardiac magnetic resonance imaging shows a small apical aneurysm (arrow) characteristic of a remnant from a sump used to vent the left ventricle during surgery. E, Transmural late gadolinium uptake in 2 discrete areas corresponding to infarct territories (arrows). The Journal of Thoracic and Cardiovascular Surgery 2012 144, e119-e121DOI: (10.1016/j.jtcvs.2012.08.035) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions