Huge Left Ventricular Aneurysm With Normal Coronary Artery

2002 ◽  
Vol 10 (2) ◽  
pp. 51
Author(s):  
Hee Jeoung Yoon ◽  
Seung Won Jin ◽  
Hyung Doo Kim ◽  
Young Yong Ahn ◽  
Jong Min Lee ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricular ◽  
Normal Coronary Artery ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm

scholarly journals A case of left ventricular aneurysm associated with an anomalous coronary artery.

1988 ◽  
Vol 52 (1) ◽  
pp. 79-83 ◽  
Author(s):  
TAKAFUMI HIRO ◽  
MASUNORI MATSUZAKI ◽  
JUNKO HIRO ◽  
MASAHARU OZAKI ◽  
HIROSHI OGAWA ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Anomalous Coronary Artery ◽  
Ventricular Aneurysm ◽  
Anomalous Coronary

scholarly journals Case Study: Using 3D Speckle Tracking Echocardiography for Left Ventricular Aneurysm Diagnosis

2020 ◽  
pp. 90-95
Author(s):  
O. A. Mazur ◽  
L. M. Hrubyak ◽  
O. V. Kupchynskyi ◽  
N. V. Bankovska
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Left Ventricular Geometry ◽  
Left Ventricular Aneurysm ◽  
Apical Region ◽  
Ventricular Aneurysm

Nowadays magnetic resonance imaging (MRI) is a gold standard for diagnosing abnormalities of left ventricular geometry and function, however, it is not universally accessible. Furthermore, MRI is not compatible with pacemakers and similar devices. 3D speckle tracking echocardiography (3D STE) is a cutting-edge echocardiography imaging technique for myocardial deformation assessment. As such, 3D STE looks very promising for diagnosing structural complications of myocardial infarction (MI) and choosing the optimal surgical techniques. In this case study, we used 3D STE to assess left ventricular function in a patient with left ventricular aneurysm. The patient was admitted to National Amosov Institute of Cardiovascular Surgery three weeks after having a second MI (the first MI was reported 4 years ago). His coronary angiography showed diffuse coronary artery disease. 2D echocardiography (performed on Toshiba Artida) results: end-diastolic volume (EDV) 206 ml, end-systolic volume (ESV) 141 ml, ejection fraction (EF) (Simpson’s method) 31%. An object sized 2.2*1.6 cm was discovered in the apical region (left ventricular thrombus). 3D STE results: EDV 209 ml, ESV 182 ml, EF 13%. Global area strain (GAS) was considerably decreased (–13.7 %) showing the pattern of ischemic cardiomyopathy with multivessel disease. Due to several reasons, it was impossible to obtain an MRI scan, so a CT coronary angiography was performed (Toshiba Aquilion One). The results of multi-slice computed tomography (MSCT) were consistent with those of echocardiography. According to the results, the initial plan to resect the apical akinesia region was ruled out. The patient underwent coronary artery bypass grafting (CABG) (4 shunts), the removal of thrombi from the left ventricle (additional fresh thrombi were discovered during the surgical intervention), and left ventricular aneurysm repair under cardiopulmonary bypass. Post-treatment 3D STE results: EDV dropped to 135 ml, EF rose from 13% to 32%. GAS increased up to –20.4 %, while the strains of all segments increased to subnormal levels. The overall dynamics was positive, and the patient was discharged to undergo postoperative rehabilitation. The case shows that 3D STE data is consistent with CT data in patients with abnormal ventricular remodeling. 3D STE is a good method for differentiation between akinetic scar tissue and a dyskinetic left ventricular aneurysm.

scholarly journals A combined approach to correct posterior left ventricular aneurysm, aortic stenosis and coronary artery disease

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Akshay J Patel ◽  
Saifullah Mohamed ◽  
Yassir Iqbal ◽  
Ashok Kar ◽  
Gopal Soppa
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Systolic Function ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Suture Technique ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Mattress Suture

Abstract Ischaemic heart disease and aortic stenosis are potentially life-threatening conditions. A post-infarct left ventricular aneurysm, when combined with the above, is particularly hazardous. We present a case where all three conditions occurred simultaneously and describe the surgical approach undertaken to attempt correction. The patient underwent aneurysmectomy together with aortic valve replacement and two-vessel coronary artery bypass grafting. The aneurysm was excised with direct linear closure of the walls using a Teflon-buttressed interrupted mattress suture technique. Post-operatively, ventricular systolic function was good (LVEF 40%) together with a well-seated aortic valve showing no paravalvular leaks. This case highlights the importance of meticulous removal of thrombus from the aneurysm and everting the edges thereby eliminating a thrombogenic surface and the risk of embolic stroke. The restorative procedure itself serves to underline the importance of ventricular shape in the effective functioning of the myocardium for sustaining an adequate stroke volume with normalized physiology.

scholarly journals Normal Coronary Artery Patient Presenting with Left Ventricular Aneurysm

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Hakan Altay ◽  
Cihan Altin ◽  
Ali Çoner ◽  
Haldun Muderrisoglu
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Dilated Cardiomyopathy ◽  
Posterior Wall ◽  
Anterior Wall ◽  
Left Ventricular ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Distinct Area

Left ventricular aneurysm (LVA) is one of the most important complications of myocardial infarction LVA is strictly defined as a distinct area of abnormal left ventricular diastolic contour with systolic dyskinesia or paradoxical bulging. LVA usually results from myocardial infarction. Other rare aetiologies of LVA include hypertrophic cardiomyopathy, Chagas' disease, sarcoidosis, congenital LVA, and idiopathic However, LVA formation in patients with idiopathic dilated cardiomyopathy is rarely reported, and the incidence, clinical features, and pathogenesis of LVA formation in patients with idiopathic dilated cardiomyopathy is not well understood. Here, we present a 45 years old, idiopathic dilated cardiomyopathy patient with LVA and normal coronary arteries The pathogenesis of LVA formation in patients with idiopathic dilated cardiomyopathy is not clear. One acceptable hypothesis is that coronary artery emboli originate from mural thrombi, present in some patients with idiopathic dilated cardiomyopathy, which develop due to local wall infarction and fibrosis. The local myocardial perfusion differences could be seen in idiopathic dilated cardiomyopathy and predominantly found in the anteroposterior axis of the left ventricle. Local fibrosis occurs more frequently on the anterior wall or posterior wall, and less frequently on the lateral or septal wall. In our patient, LVA existed in the septal segments.We could not define the exact mechanism of the septal aneurysm in our patient but we decided to present this abnormal case, which is different from cases thus far reported in the literature.

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