FALSE ANEURYSM OF THE LEFT VENTRICLE: CASE REPORT WITH PRE- AND POSTOPERATIVE EVALUATION

Area of Science:

• Cardiology
• Cardiac Surgery
• Cardiovascular Medicine

Background:

• Chronic congestive heart failure can develop after anterior myocardial infarction.
• Left ventricular aneurysms, particularly false aneurysms, pose a risk for cardiac dysfunction.
• Myocardial infarction can lead to complications such as left ventricular aneurysms.

Purpose of the Study:

• To report a case of successful surgical management of a left ventricular false aneurysm.
• To highlight the potential for recovery of cardiac function after aneurysm resection.
• To document the first case of normalized heart function following left ventricular false aneurysm resection.

Main Methods:

• Diagnosis involved left ventricular angiography to identify coronary artery occlusion and aneurysm.
• Surgical intervention included resection of the false aneurysm.
• Postoperative assessment included cardiac hemodynamics and left ventricular angiography.

Main Results:

• Resection of the left ventricular false aneurysm led to improved cardiac function.
• The patient experienced an uneventful recovery post-surgery.
• Six-month follow-up confirmed normal cardiac hemodynamics and left ventricular angiographic features.
• New York Heart Association functional classification improved from Class IV to Class I.

Conclusions:

• Surgical resection of a left ventricular false aneurysm can restore normal cardiac function.
• This case represents a novel outcome in managing post-myocardial infarction complications.
• Early and effective surgical intervention is crucial for improving outcomes in patients with ventricular aneurysms.