A Growing Two-Decade-Old True Left Ventricular Aneurysm: A Case Report

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

10-14-2021

Keywords

left ventricular aneurysm, true aneurysm, myocardial infarction, mechanical complication, late complication, cardiac surgery, aneurysmectomy

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

Left ventricular aneurysms (LVA) occur after an infarcted area of the myocardium necrotizes, fibroses, and expands, forming a dyskinetic cavity. Most ventricular aneurysms are asymptomatic and go unrecognized unless found incidentally. Symptoms commonly reported include angina, heart failure, syncope, and even sudden cardiac death. Late complications from left ventricular aneurysms are infrequently reported. This case reports an elderly woman who presented with new-onset angina from an expanding 18-year-old true left ventricular aneurysm that was successfully treated with surgical repair.

Publisher or Conference

Cureus

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