Giant inferior wall left ventricular aneurysm

DePace, Nicholas L.; Dowinsky, S.; Untereker, William J.; Lemole, Gerald M.; Spagna, Pasquale M.; Meister, Steven G.

doi:10.1016/s0002-8703(05)80036-5

Cited by 8 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several mechanical complications are associated with acute myocardial infarction, including ventricular free wall rupture with or without ventricular septal rupture, papillary muscle rupture leading to acute severe mitral regurgitation, cardiogenic shock from extensive left or right ventricular infarction, and ventricular aneurysms. Among these, LV aneurysm is the most common mechanical sequela of acute myocardial infarction, occurring in approximately 15% of such cases (range, 3%‐38%) . Most cases of cardiac rupture after an acute myocardial infarction involve the free ventricular wall, and they are typically associated with sudden death due to the resulting hemopericardium and cardiac tamponade …”

Section: Discussionmentioning

confidence: 99%

“…Among these, LV aneurysm is the most common mechanical sequela of acute myocardial infarction, occurring in approximately 15% of such cases (range, 3%-38%). 1,2 Most cases of cardiac rupture after an acute myocardial infarction involve the free ventricular wall, and they are typically associated with sudden death due to the resulting hemopericardium and cardiac tamponade. 3 In our case, we diagnosed the patient as having a true LV aneurysm rather than a pseudoaneurysm on the basis that it clearly communicated with the LV and was continuous with the myocardial wall throughout.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative diagnosis of an unsuspected ruptured left ventricular aneurysm using transesophageal echocardiography: A case report

Tagawa

Shibata

2018

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageTransesophageal echocardiography (TEE) enables a more accurate visualization of left ventricular posterior aneurysms than transthoracic echocardiography due to the close proximity of the esophagus to the posterior ventricular wall. Therefore, TEE is essential for the accurate diagnosis of posterior aneurysm, particularly in urgent settings where preoperative assessments may be insufficient.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intraoperative diagnosis of an unsuspected ruptured left ventricular aneurysm using transesophageal echocardiography: A case report

Tagawa

Shibata

2018

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…However, the incidence of LVA has decreased dramatically to 0.2% due to early revascularization therapy. The most common site of LVA is the anterior wall and true LVA involving the inferoposterior wall is rare, comprising only 9% of total cases [1][2].…”

Section: Introductionmentioning

confidence: 99%

A Case Report of a Double Catastrophe: True Left Ventricular Aneurysm and Ventricular Septal Rupture Complicating Acute Myocardial Infarction and Presenting as Chronic Heart Failure

Khànal¹,

Ghosh²,

Mishra³

2020

Cureus

View full text Add to dashboard Cite

A combination of left ventricular aneurysm (LVA) and ventricular septal rupture (VSR) in an acute myocardial infarction (AMI) patient presenting as heart failure is extremely rare. Here, we report a rare case of concurrent true inferoposterior LVA and VSR secondary to inferior wall myocardial infarction (IWMI) presenting as chronic heart failure (CHF). To the best of our knowledge, this is the third reported case in the literature. A 61-year-old man, who had an IWMI about one month prior, presented with CHF. Echocardiography revealed true inferoposterior LVA and VSR. Coronary angiography revealed double vessel disease involving the right coronary artery (RCA) and left circumflex artery (LCX). Left ventricular angiography confirmed a large posterobasal aneurysm and VSR. The patient underwent successful coronary artery bypass grafting (CABG) and ventriculoplasty along with VSR patch repair.

show abstract

“…Although the incidence of LVA has decreased dramatically due to an early revascularization strategy, its occurrence is still associated with a poor clinical outcome. Compared with the anterior wall, the most prevalent site of LVA, only 9% of LVA involve the inferior or posterior left ventricular wall 2 . Thus, true LVA involving the inferoposterior wall is rare.…”

Section: Introductionmentioning

confidence: 99%

Concurrent true inferoposterior left ventricular aneurysm and ventricular septal rupture secondary to inferior myocardial infarction: a case report

Zhang

Pang

et al. 2018

European Heart Journal - Case Reports

View full text Add to dashboard Cite

BackgroundAlthough left ventricular aneurysm (LVA) is the most common mechanical complication of myocardial infarction (MI), it rarely involves the inferior or posterior left ventricular wall. Ventricular septal rupture (VSR) may be a fatal mechanical complication of MI but rarely occurs in the posterior or inferior portion of the interventricular septum. Thus, LVA and VSR as two mechanical complications of MI in the same patient are extremely rare.Case summaryA 65-year-old woman, who had inferior ST-segment elevation myocardial infarction 2 months before without reperfusion therapy, was admitted with exertional dyspnoea for 1 month. Echocardiography and computed tomography revealed true inferoposterior LVA and VSR as concurrent complications of MI. These imaging findings were confirmed during cardiac surgery. After successful coronary bypass grafting and ventriculoplasty, the patient recovered quickly and was discharged from the hospital.DiscussionA rare case of post-infarction inferoposterior LVA with concurrent interventricular septal rupture was reported. Transthoracic and transoesophageal echocardiography and cardiac computed tomography were valuable tools for the diagnosis of this rare condition. Combined coronary bypass grafting and ventriculoplasty were effective in treating this often fatal complication of inferior MI.

show abstract

Giant inferior wall left ventricular aneurysm

Cited by 8 publications

References 4 publications

Intraoperative diagnosis of an unsuspected ruptured left ventricular aneurysm using transesophageal echocardiography: A case report

Intraoperative diagnosis of an unsuspected ruptured left ventricular aneurysm using transesophageal echocardiography: A case report

A Case Report of a Double Catastrophe: True Left Ventricular Aneurysm and Ventricular Septal Rupture Complicating Acute Myocardial Infarction and Presenting as Chronic Heart Failure

Concurrent true inferoposterior left ventricular aneurysm and ventricular septal rupture secondary to inferior myocardial infarction: a case report

Contact Info

Product

Resources

About