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Cardiac ventricular aneurysm in a child
1University of Illinois at Chicago Hospital, 1740 West Taylor Street, Chicago, IL 60612, USA.
Pediatric Cardiology
|May 9, 2001
Insights
Cardiac ventricular aneurysms are rare in children. This report details an incidental finding of an aneurysm in one identical twin, with no aneurysm in the other.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Medical Genetics
Background:
- Cardiac ventricular aneurysms are uncommon congenital heart abnormalities.
- Etiology is multifactorial, with limited pediatric case reports.
- Adverse outcomes are frequently associated with pediatric cases.
Observation:
- An asymptomatic pediatric patient was incidentally diagnosed with a cardiac ventricular aneurysm.
- The patient's identical twin brother showed no evidence of cardiac aneurysm.
- This case highlights the potential for discordant presentation in monozygotic twins.
Findings:
- The incidental discovery of a cardiac ventricular aneurysm in an asymptomatic child.
- The absence of a cardiac aneurysm in the co-twin suggests non-genetic or stochastic factors.
- This case contributes to the limited literature on pediatric cardiac ventricular aneurysms.
Implications:
- Further research into the pathogenesis of pediatric cardiac ventricular aneurysms is warranted.
- Understanding genetic and environmental influences in twin discordance is crucial.
- This case may inform diagnostic and management strategies for pediatric cardiac abnormalities.
Abstract:
Cardiac ventricular aneurysms are anomalous developments that are multifactorial in origin. Few pediatric cases have been cited. The majority of the cited cases have had negative consequences. We report an asymptomatic boy with an aneurysm incidentally found, and his identical twin brother with no evidence of aneurysm.