Congenital left ventricular aneurysm with myocardial noncompaction pattern. (October 2020)

• Record Type: Journal Article
• Authors: Daprati, Andrea; Sassi, Carlo Gaetano; Garatti, Andrea; Saitto, Gugliemo; Menicanti, Lorenzo
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 28:Number 8(2020)
• Page Start: 504
• Page End: 506
• Publication Date: 2020-10
• Subjects: Diagnosis -- differential -- heart aneurysm -- heart defects -- congenital -- ventricular dysfunction -- left; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492320949833
• Languages: English
• ISSNs: 0218-4923

Abstract

Congenital left ventricular aneurysm or diverticulum is very rare. Most congenital left ventricular aneurysms are asymptomatic but some cause systemic embolization, left ventricular free wall rupture, or ventricular arrhythmias causing sudden cardiac death. A 29-year-old woman with congenital left ventricular aneurysm and nonsustained ventricular tachycardia underwent surgical plication of the aneurysm with left ventricular reshaping to improve heart failure symptoms, prevent rupture of the aneurysm wall and the possibility of thrombus formation, and excise the fibrotic tissue of the left ventricular aneurysm, which could be a trigger for left ventricular aneurysm arrhythmias. The postoperative course was unremarkable.