Left ventricular aneurysm (LVA) is a serious complication of acute myocardial infarction which reduces the chance of survival. We report a case of 64 year-old-man admitted for acute myocardial infarction, echocardiography showed a giant aneurysm of the left ventricle after myocardial infarction, he had cardiopulmonary bypass (CPB) under normothermia. The outcome was good, trans thoracic echocardiography (TTE) reveled improvement in left ventricular ejection fraction and reduction of ventricle volume. Through this case, we wanted to highlights the contribution of surgery in the management of certain complications of myocardial infarction, in particular the aneurysm of the left ventricle.
Left venticular aneurysm ; Acute myocardial infarction ; Thrombus ; Magnetic resonance imaging.
Vlodaver Z, Coe JI, Edwards JE. True and false left ventricular aneurysms. propensity for the latter to rupture. Circulation 1975 ; 51:567-572
Vijayvergiya R, Pattam J, Rana SS, Singh JD, Puri GD, Singhal M. Giant left ventricular pseudoaneurysm presenting with hemoptysis. World J Cardiol. 2012;4(6):218-20.
Inan MB, Yazicioglu L, Acikgoz B, Tasoz R, Ozyurda, U. Giant posterolateral left ventricular aneurysm diagnosed 6 weeks after incomplete surgical revascularization. Ann Thoracic Surg 2012;93(3):980-2.
Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. American College of Cardiology; American Heart Association Task Force on Practice Guidelines; Canadian Cardiovascular Society. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction). Circulation2004;110(9):e82-292.
Jatene AD. Left ventricular aneurysmectomy: resection or reconstruction. J Thorac Cardiovasc Surg. 1985;89(3):321-31.
Dor V, Saab M, Coste P, Kornaszewska M, Montiglio F. Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg. 1989;37(1):11-9.
Chatterjee K: Complications of acute myocardial infarction. Curr Probl Cardiol 1993 ; 18:1-79
Pollak H, Nobis H, Mlczoch J: Frequency of left ventricular free wall rupture complicating acute myocardial infarction since the advent of thrombolysis. Am J Cardiol 1994 ; 74:184-186.
Fox AC, Glassman E, Isom OW. Surgically remediable complica-tions of myocardial infarction. Prog Cardiovasc Dis 1979 ; 21:461-484.
Beck CS. Operation for aneurysm of the heart. Ann Surg 1944;120(1):34-40
Dolly CH, Dotter CT, Steinberg I. Ventricular aneurysm in a 29-year-old man studied angiocardiographically. Am Heart J 1951;42(6):894-9.
Cooley DA, Collins HA, Morris GC Jr, Chapman DW. Ventricular aneurysm after myocardial infarction; surgical excsion with use of temporary cardiopulmonary bypass. J Am Med Assoc 1958;167(5):557-60.
Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB. Kirklin/Barratt-Boyes. Cardiac surgery. 3rd ed. Phil-adelphia: Churchill Livingstone; 2003. p. 437.