TY - JOUR
T1 - Left ventricular aneurysm with normal coronary angiogram
T2 - A case report and literature review
AU - Kao, Pai Feng
AU - Hung, Wen Yueh
AU - Ko, Wen Chin
AU - Yang, Hung Y.
AU - Chan, Paul
PY - 2005/9
Y1 - 2005/9
N2 - Most left ventricular aneurysms (LVA) develop in the atherosclerotic occlusive coronary artery disease following a transmural myocardial infarction. However, occasionally, LVA associated with normal coronary artery was found as well in dilated cardiomyopathy, hypertrophic cardiomyopathy, Chagas's disease, sarcoidosis, chest trauma, and congenital malformation. We report a 53-year-old male who had systolic heart failure owing to a posterior wall aneurysm of the left ventricle, which was found unintentionally during echocardiographic examination. Subsequent stress thallium scan revealed irreversible defects in the inferolateral wall and apex, and coronary angiography showed normal coronary arteries. The patient remained well under medical control for a follow-up period of 40 months. Previously undiagnosed inferoposterior wall myocardial infarction caused by thromboembolism with spontaneous reperfusion may be considered in this patient.
AB - Most left ventricular aneurysms (LVA) develop in the atherosclerotic occlusive coronary artery disease following a transmural myocardial infarction. However, occasionally, LVA associated with normal coronary artery was found as well in dilated cardiomyopathy, hypertrophic cardiomyopathy, Chagas's disease, sarcoidosis, chest trauma, and congenital malformation. We report a 53-year-old male who had systolic heart failure owing to a posterior wall aneurysm of the left ventricle, which was found unintentionally during echocardiographic examination. Subsequent stress thallium scan revealed irreversible defects in the inferolateral wall and apex, and coronary angiography showed normal coronary arteries. The patient remained well under medical control for a follow-up period of 40 months. Previously undiagnosed inferoposterior wall myocardial infarction caused by thromboembolism with spontaneous reperfusion may be considered in this patient.
KW - Coronary artery disease
KW - Left ventricular aneurysm
KW - Normal coronary artery
KW - Systolic heart failure
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M3 - Review article
AN - SCOPUS:32344432531
SN - 1011-6842
VL - 21
SP - 153
EP - 157
JO - Acta Cardiologica Sinica
JF - Acta Cardiologica Sinica
IS - 3
ER -