Myocardial Infarction:CT Findings - Subendocardial fatty replacement - Myocardial thinning - Delayed contrast enhancement - Calcifications in the infarcted area
“Left ventricular aneurysm can be subdivided into true and false aneurysms. True aneurysms have a continuous wall of thinned, scarred myocardium, whereas false aneurysms arise from interruption or rupture of the myocardium. Both can be complicated by thrombus formation. True aneurysms are most commonly located at the anterior wall of the left ventricle or cardiac apex, usually secondary to transmural myocardial infarction .They are seen in 8%–12% of patients after acute myocardial infarction. Rarer causes include trauma, Chagas disease, sarcoidosis and congenital causes.” Incidental cardiac abnormalities on non- electrocardiogram-gated multi-detector computed tomography imaging of the thorax and abdomen Lim KC et al. Singapore Med J 2011; 52(12):906