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Published on: December 9, 2021
Visualization of a large ventricular aneurysm in a young man by 16-slice multi-detector row spiral computed
Thomas Strecker1, Ulrich Baum, Frank Harig
1Center of Cardiac Surgery, Friedrich-Alexander-University, Erlangen-Nuremberg, Germany. thomas.strecker@herz.imed.uni-erlangen.de
Insights
A rare complication of coronary artery disease, left ventricular (LV) aneurysm, was successfully surgically repaired in a young man. Contrast-enhanced computed tomography enabled non-invasive visualization and diagnosis.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiovascular Surgery
Background:
- Left ventricular (LV) aneurysm is a rare, often asymptomatic, complication of myocardial infarction.
- Delayed diagnosis of LV aneurysm, particularly in younger individuals, can lead to life-threatening rupture.
- Coronary artery disease management requires understanding of its potential sequelae.
Observation:
- A 35-year-old male presented with a large, asymptomatic LV aneurysm.
- The aneurysm and associated coronary arteries were visualized non-invasively.
- Contrast-enhanced 16-slice multi-detector row spiral computed tomography (MDCT) was utilized for imaging.
Findings:
- Successful surgical repair of a large LV aneurysm was achieved.
- MDCT provided detailed non-invasive visualization of the LV aneurysm and coronary anatomy.
- This case highlights the utility of advanced imaging in diagnosing rare cardiac conditions.
Implications:
- Early and accurate diagnosis of LV aneurysms is crucial for timely intervention.
- MDCT is a valuable tool for non-invasive assessment of LV aneurysms.
- Surgical repair offers a viable treatment option for large, asymptomatic LV aneurysms, preventing catastrophic rupture.
Abstract:
Left ventricular (LV) aneurysm after myocardial infarction without any clinical symptoms is a rare complication of coronary artery disease. In most cases, especially in young people, this complication is diagnosed too late, after rupture into the pericardial cavity has occurred. Here we present the successful surgical repair of a large LV aneurysm in a 35-year-old man. We could visualize this aneurysm and the coronary arteries non-invasively by contrast-enhanced 16-slice multi-detector row spiral computed tomography (MDCT).
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