Repair of the giant left ventricular inferior wall aneurysm
- Mikhail Snegirev,
- Artem Paivin,
- Dmitrii Denisyuk,
- Lana Sichinava
Abstract
Background. Ventricular aneurysms develop after transmural myocardial
infarctions and can significantly worsen clinical outcomes. We report an
unusual case of the giant inferior wall aneurysm, successfully treated
by surgical resection. Case presentation. The 65-year-old male was
diagnosed with a giant inferior wall left ventricular aneurysm after
worsening of his dyspnoea. Four months prior to the admission, he had
ST-elevation inferior myocardial infarction, complicated by
pericarditis. During the 4-month follow-up period, the aneurysm has
significantly increased in size. Unrecognized ventricular wall rupture
was supposed. The precise anatomy of the aneurysm was established by
cardiac MRI. Surgical resection of the aneurysm was performed with
uneventful patient's recovery. Conclusion. Timely surgical treatment of
the rapidly growing aneurysms is recommended. In such cases cardiac MRI
can specify anatomy and coordinate surgical strategy.