Skip to main content
Have a personal or library account? Click to login
Left Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome Cover

Left Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome

Open Access
|Feb 2026

Figures & Tables

Figure 1

Electrocardiogram showing ST-segment elevation in (A) leads I, aVL and (B) V4-V9.

Figure 2

Coronary angiography showing (A) marked narrowing of the left anterior descending artery, left circumflex artery, and obtuse marginal branches; (B) subtotal stenoses of the left circumflex artery, obtuse marginal artery, and left anterior descending artery (arrows).

Video 1

Echocardiography showing akinesis and thickening of the apical left ventricular walls; see also at https://vimeo.com/1161503628/a15b7bf09f.

Figure 3

Cardiac magnetic resonance imaging (a) short-axis view shows myocardial edema and (b) late gadolinium enhancement in the left ventricle lateral wall; (c) 4-chamber apical view and (d) short-axis view showing a partial absence of the pericardium and myocardial indentation (arrows).

DOI: https://doi.org/10.14797/mdcvj.1743 | Journal eISSN: 1947-6108
Language: English
Page range: 14 - 18
Submitted on: Nov 19, 2025
Accepted on: Jan 16, 2026
Published on: Feb 17, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2026 Sergey Yakovlev, Anna Gvozdeva, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.