Surgical Resection of a Lupus-Related Left Ventricular Aneurysm in a Patient with Normal Coronary Arteries: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 75 ◽  
Author(s):  
Louis E. Samuels ◽  
William D. Spangler ◽  
Inder Goel
Keyword(s):  
Surgical Resection ◽  
Coronary Arteries ◽  
Lupus Erythematosus ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Lv Function ◽  
Ventricular Aneurysm ◽  
Shortness Of Breath ◽  
Local Repair ◽  
Normal Coronary Arteries

A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV.

Multimodality imaging of a left ventricular aneurysm in a patient with normal coronary arteries: Unusual localization

2017 ◽  
Vol 34 (7) ◽  
pp. 1110-1111 ◽  
Author(s):  
Mahmut Yesin ◽  
Macit Kalçık ◽  
Elnur Alizade ◽  
Onur Taşar ◽  
Mehmet Özkan
Keyword(s):  
Coronary Arteries ◽  
Multimodality Imaging ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Normal Coronary Arteries

scholarly journals Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report

2018 ◽  
Vol 6 (6) ◽  
pp. 139-142 ◽  
Author(s):  
Roman Evgenyevich Kalinin ◽  
Igor Aleksandrovich Suchkov ◽  
Nina Dzhansugovna Mzhavanadze ◽  
Adelphina Felician Ncheye
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Coronary Arteries ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Normal Coronary Arteries

scholarly journals Surgical treatment of left ventricular wall rupture, regarded as a consequence of Takotsubo cardiomyopathy

2017 ◽  
Vol 5 ◽  
pp. 2050313X1668921 ◽  
Author(s):  
Taalaibek Kudaiberdiev ◽  
Irina Akhmedova ◽  
Gulzada Imanalieva ◽  
Ildar Abdildaev ◽  
Kilichbek Jooshev ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Angiography ◽  
Emotional Stress ◽  
Coronary Arteries ◽  
Takotsubo Cardiomyopathy ◽  
Laboratory Tests ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Lv Function ◽  
Inferior Myocardial Infarction

Objective: We present the case of possible reverse type of TCM in a female patient presented with progressive left ventricular dysfunction and its rupture in pericardium. Methods: The detailed history, physical examination, laboratory tests, electrocardiography, serial echocardiography, coronary angiography with left ventriculography were performed to diagnose possible Takotsubo cardiomyopathy in 63-year old woman admitted to our center with complaints of dyspnea, lightheadedness, weakness and signs of hypotension and history of inferior myocardial infarction, acute left ventricular aneurysm, and effusive pericarditis and pleuritis, developed after emotional stress 5 months ago. Results: Clinical evaluation revealed unremarkable laboratory tests, normal troponin values, signs of old inferior myocardial infarction on electrocardiogram, and left ventricular (LV) dilatation and dysfunction, akinesia of LV infero-lateral wall with thinning and its rupture and blood shunting in pericardium. Her coronary angiography revealed normal coronary arteries. The diagnosis of pheochromocytoma was excluded. The patient underwent surgery under cardiopulmonary bypass with removal of LV pseudoaneurysm. The patient was discharged from hospital with improvement in NYHA class and LV function. Conclusion: Thus, in female postmenopausal patients presenting with acute myocardial infarction signs complicated by pericarditis, intact coronary arteries and LV dysfunction with emotional stress as triggering factor, reverse type of TCM should be considered and proper management applied to prevent development of life-threatening complications like LV rupture.

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