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Case Reports
. 2024 May 6:48:8.
doi: 10.11604/pamj.2024.48.8.36988. eCollection 2024.

Ventricular restoration in adults with huge congenital left ventricular aneurysm: report of two cases

Charles Mve Mvondo  1   2 , Hermann Nestor Tsague Kengni  2 , Laurence Carole Ngo Yon  2 , Amalia Ariane Owona Ngandebe  3 , Etienne Sene  4 , Marcelin Ngowe Ngowe  2
Affiliations
Case Reports

Ventricular restoration in adults with huge congenital left ventricular aneurysm: report of two cases

Charles Mve Mvondo et al. Pan Afr Med J. .

Abstract

Congenital ventricular aneurysms (CVA) are rare cardiac anomalies that have been predominantly described in the Black population. They are characterized by an akinetic ventricular protrusion that is commonly located at the basal and apical segments. Although the diagnosis is often incidental and the majority of patients are asymptomatic, life-threatening events such as persistent ventricular arrhythmias, CVA rupture, and heart failure are not uncommon. However, no standardized therapy is currently available and good outcomes have been reported with both conservative and surgical management. We report the cases of two young Black African patients with huge symptomatic CVA lesions who underwent successful surgical repair with a ventricular restoration technique. Both cases were consulted for chest pain and dyspnea. Chest X-ray and transthoracic Doppler echocardiography suggested the diagnosis. Thoracic angioscanner and thoracic magnetic resonance imaging confirmed the diagnosis. Both patients underwent successful surgery. This case report aims to revisit the diagnostic and therapeutic approach to this rare pathology, in our professional environment.

Keywords: Cameroon; Congenital aneurysm; case report; ventricular restoration.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
left apical congenital ventricular aneurysms at magnetic resonance imaging (A, B)
Figure 2
Figure 2
intraoperative views of the congenital ventricular aneurysms, A) apical defect, B) closure of the defect with a bovine pericardium
Figure 3
Figure 3
angio-computed tomography scan views: comparative aspects, preoperative (A, B), postoperative (C, D)
Figure 4
Figure 4
excised congenital ventricular aneurysms with diffused thrombosis (A), histopathology of congenital ventricular aneurysms wall (B, C) showing fibrotic tissue with diffused inflammatory cells and focus of calcification
See this image and copyright information in PMC

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