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Review
. 2009;36(4):331-3.

Successful aneurysmectomy of a congenital apical left ventricular aneurysm

Ujjwal K Chowdhury  1 , Sandeep Seth, Avneesh Sheil, Chander Mohan Mittal, Priya Jagia, Poonam Malhotra, Srikrishna M Reddy
Affiliations
Review

Successful aneurysmectomy of a congenital apical left ventricular aneurysm

Ujjwal K Chowdhury et al. Tex Heart Inst J. 2009.

Abstract

Congenital apical left ventricular aneurysm is a rare clinical entity that is different from congenital left ventricular diverticulum. This aneurysm usually occurs as an isolated anomaly. Its clinical presentation varies, and it is usually diagnosed by exclusion. Herein, we report the case of a 54-year-old man who experienced progressively increasing symptoms of congestive cardiac failure. Through the use of contrast echocardiography and angiocardiography, and upon histopathologic examination, he was diagnosed to have a congenital apical left ventricular aneurysm. He was successfully treated by means of left ventricular aneurysmectomy. We discuss the process of diagnosis and surgical correction of the aneurysm, and we briefly review the pertinent medical literature.

Keywords: Coronary aneurysm/surgery; diagnosis, differential; echocardiography; heart aneurysm/congenital/diagnosis/radiography/surgery; heart ventricles/abnormalities/radiography.

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Figures

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Fig. 1 Preoperative selective A) left and B) right coronary arteriograms show normal coronary arterial origin, course, and distribution, and no coronary artery disease. LAD = left anterior descending coronary artery; LCA = left circumflex coronary artery; RCA = right coronary artery
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Fig. 2 The systolic phase of left ventriculography shows the apical aneurysm with a calcified aneurysmal wall and possible thrombotic obstruction at the mouth of the aneurysm (arrow).
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Fig. 3 Intraoperative photographs of the incised apical left ventricular aneurysm (LVA). A, B) The intra-aneurysmal thrombus (arrow), normal endocardium, and chordal apparatus. C) Aneurysmectomy and the repair of the aneurysm between Teflon strips (arrow).
See this image and copyright information in PMC

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