Penetrating atherosclerotic aortic ulcer mimicking acute inferior myocardial infarction.

Penetrating atherosclerotic ulcers (PAU), aortic dissection, and intramural hematoma are the three most important diseases involving the aorta which are classified as acute aortic syndromes. Penetrating atherosclerotic aortic ulceration is characterized by ulceration of atheromatous plaque disrupting the internal elastic lamina. These aortic ulcers may penetrate through the media to cause aortic pseudoaneurysms or less often through the adventitia to cause transmural aortic rupture. We described a case of penetrating atherosclerotic ulcer of ascending aorta mimicking ST elevation myocardial infarction. To our knowledge, this is the first case reported in the literature of such a complication from PAU.

False tendon rupture mimicking chorda rupture.

False tendons are fibromuscular intracavitary bands that can mimic pathologic structures such as intraventricular chorda rupture, vegetation, or thrombus. False tendon rupture is a rare echocardiographic finding, reported in only a few case reports. In this case report, the authors present a patient with false tendon rupture that mimicked intraventricular chorda rupture.

Flying saucer located at the basal septum.

Left ventricular thrombus formation is a frequent complication in patients with ischemic heart disease and is associated with a high risk of systemic embolization. Generally, thrombi localize at the apical segment. However, thrombus localized at the basal septum has not been reported yet. In this case, we discuss a flying saucer shaped mass located at the basal septum, which was later diagnosed as thrombus after anticoagulant therapy.