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A paradigmatic example of massive cardiac pseudoaneurysm with mitral valve’s papillary muscle rupture due to myocardial infarction complicated with cardiogenic shock that required VA-ECMO support is shown. (A) <span class="elsevierStyleItalic">White triangle identifies left circumflex occlusion on coronary angiography. (</span>B) <span class="elsevierStyleItalic">Yellow triangle (YT) identifies massive pseudoaneurysm on scanner with the anatomical neck in blue line.</span> (C) <span class="elsevierStyleItalic">YT identifies massive pseudoaneurysm on scanner’s orthogonal view.</span> (D) <span class="elsevierStyleItalic">Massive pseudoaneurysm (YT) on transesophageal echo (TE).</span> (E) Red triangle <span class="elsevierStyleItalic">identifies</span> mitral regurgitation during in-surgery TE. (F) Green triangle <span class="elsevierStyleItalic">identifies</span> pericardia patch over the repaired tissue. Twelve hours after first symptom a successful surgical reparation with pericardial patch, mitral bioprosthesis implantation and venous bypass graft to the circumflex coronary artery was performed. To guarantee accurate emergent cardiovascular assistance, imaging, mechanical circulatory support options and neurological tests skills must be familiar to intensive care physicians.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authorship</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dr. CRG and Dr. RA prepared the original manuscript. Dr. AAL and Dr. TLS helped with imaging processing ant paper review. Dr. JTO and Dr. ODS actively reviewed and modified the original manuscript. Al authors are responsible for the contents of this manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">Authors do not have any conflict of interest to disclose related to the matter discussed in this manuscript.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authorship" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1764 "Ancho" => 3348 "Tamanyo" => 554207 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105691/0000004800000003/v1_202402270533/S0210569123003595/v1_202402270533/en/main.assets" "Apartado" => array:4 [ "identificador" => "94014" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes en Medicina Intensiva" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000003/v1_202402270533/S0210569123003595/v1_202402270533/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123003595?idApp=WMIE" ]
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