Giant left ventricular aneurysm and aortic stenosis in a newborn

Congenital left ventricular subaortic aneurysm in an asymptomatic child

“…In symptomatic patients, rapid progression or important size, surgical resection is mandatory. In asymptomatic patients, there are authors who consider that all CVA have to be resected, given the risk of rupture and sudden death, but in the other hand, there are authors defending a conservative approach with a close surveillance, supported in the surgical risk and reported cases with good evolutions, as described in our patient [1,4].…”

“…Congenital ventricular aneurysm (CVA) is a rare cardiac anomaly (estimated prevalence of 0.5/100,000 births) [1,2].…”

“…International Journal of Cardiology 146 (2011) e5 -e6 www.elsevier.com/locate/ijcard CVA is not usually associated with malformations, presents a broad communication with ventricular cavity, and a wall composed of a thinned myocardium with intermingled fibrous tissue, resulting in an akinetic or dyskinetic movement [1]. Congenital subaortic aneurysms are located in these portions of the aortic annulus which are directly related to the epicardium and where there is a muscular-fibrous junction [3].…”