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An example that presented giant aneurysm of the angina pectoris after percutaneous coronary intervention

Nobutaka Ikeda1, Hisao Hara, Rintaro Nakajima

  • 1Division of Cardiovascular Medicine, Toho University Medical Center, Ohashi Hospital, Tokyo, Japan. harahisa@d1.dion.ne.jp

Heart and Vessels
|January 28, 2006
PubMed

Insights

A giant left ventricular aneurysm caused heart failure in a 70-year-old woman. Pathological examination confirmed a subepicardial aneurysm, offering insights into cardiac complications.

Area of Science:

  • Cardiology
  • Pathology

Background:

  • A 70-year-old woman presented with heart failure.
  • She had undergone percutaneous coronary intervention for severe left main trunk stenosis three months prior.

Observation:

  • The patient exhibited a giant left ventricular aneurysm involving the apex and severe mitral regurgitation.
  • Coronary angiography showed no new significant stenosis after heart failure stabilization.

Findings:

  • Pathological examination of the resected specimen diagnosed a subepicardial aneurysm.
  • The aneurysm was identified as the cause of heart failure and mitral regurgitation.

Implications:

  • This case highlights a rare cause of heart failure.
  • Understanding subepicardial aneurysms is crucial for managing complex cardiac conditions.

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