02Oct 2018

ENORME ANEVRYSME VENTRICULAIRE GAUCHE POST INFARCTUS DU MYOCARDE.

  • Centre de Cardiologie ; H?pital militaire l?instruction Mohammed V ? CHU Rabat.
Crossref Cited-by Linking logo
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

A left ventricular aneurysm (LVA) is a localized dyskinetic area of infarcted myocardium that bulges in systole and diastole. It is a well-studied structural complication seen post myocardial infarction although decreasing in incidence due to major improvements in reperfusion therapy. Persistent ST elevation is the most widely reported electrocardiographic manifestation of left ventricular aneurysms. LVA may be evident on chest x-ray, as observed in this case. Diagnosis is noninvasively confirmed using echocardiography. Complications of LVA include congestive heart failure, ventricular arrhythmias and rupture that can lead to sudden cardiac death Surgical treatment is usually effective and followed by a marked improvement in function but is burdened with a heavy postoperative mortality. We report the case of a 68-year-old man, with a history of Myocardial infarction presenting with a huge left ventricular aneurysm.


  1. Ba?albaki. HA. , Clements SD : Left ventricular aneurysm: a review. ClinCardiol 1998; 12:5.
  2. Letac C., Leroux G., Cribier A., Soyer R.: Large ventricular aneurysms occurring after myocardial infarction. Heart J. 1987, 40, 516.
  3. Cohen M., Packer M., Gorlin R.: Indications for left ventricular aneurysmectomy. Circul. 1983, 67, 717-722.
  4. Lundblad R., Abdalnoor M., Svennevig JL. Repair of left ventricular aneurysm: surgical risk and long-term survival. Ann ThoracSurg 2003; 76:719-25
  5. Letac C., Leroux G., Cribier A., Soyer R.: Large ventricular aneurysms occurring after myocardial infarction. Heart J. 1978, 40, 516.
  6. Malcom I.D., Fitchett D.H., Stewart D., Marpole D., Symes J.: Ventricular aneurysm false or true an important distinction. Ann. Thorac Surg. 1980, 29, 474.
  7. Buck T Hunold P., Wentz KU. et al. Tomographic three-dimensional echographic determination of chamber size and systolic function in patients with left ventricular aneurysm: Comprarison to magnetic resonance imaging, cineventriculography. Circul 1997;96:4286-25.
  8. Miller JM., KienzleMG., Harken AH., Josepson ME. Subendocardial resection of ventricular tachycardia: predictors of surgical success. Circulation 1984;60:1340-4.
  9. Lundblad R., Abdalnoor M., Svennevig JL. Repair of left ventricular aneurysm: surgical risk and long-term survival. Ann ThoracSurg 2003; 76:719-25.
  10. Cohen M., Packer M., Gorlin R.: Indications for left ventricular aneurysmectomy. Circul. 1983, 67, 717-722.
  11. Nagle R. C., William DO. Natural history of ventricular aneurysm without surgical treatement. Br. Heart 1974, 36 , 1037.
  12. Cohen M., Weimer I., Pichard A., Holt J., Smith H., Gorlin R. Determinants of ventricular tachycardia in patients with coronary artery disease and ventricular aneurysm: Clinical hemodynamic and angiographic factors. Am. J. Cardiol.1983, 51, 61.
?   ?  

[Mohamed Malki, Abdellatif Jabbouri, Hicham Faliouni, Ilyass Asfalou, Maha Raissouni, Aatifbenyass and Elmehdi Zbir. (2018); ENORME ANEVRYSME VENTRICULAIRE GAUCHE POST INFARCTUS DU MYOCARDE. Int. J. of Adv. Res. 6 (Oct). 208-213] (ISSN 2320-5407). www.journalijar.com


Mohamed Malki
Hopital militaire l instruction Mohammed V CHU Rabat

DOI:


Article DOI: 10.21474/IJAR01/7801      
DOI URL: http://dx.doi.org/10.21474/IJAR01/7801