Normal coronary artery patient presenting with left ventricular aneurysm
Hakan Altay1, Cihan Altin, Ali Coner
1Department of Cardiology, Baskent University School of Medicine, Adana Hospital, Adana, Turkey.
Case Reports in Medicine
|August 17, 2011
Summary
Left ventricular aneurysm (LVA) is a rare complication of idiopathic dilated cardiomyopathy. This case highlights an unusual septal LVA in a patient with normal coronary arteries, prompting further research into its pathogenesis.
Area of Science:
- Cardiology
- Cardiovascular Diseases
- Medical Case Reports
Background:
- Left ventricular aneurysm (LVA) is a serious complication typically following myocardial infarction.
- While various etiologies exist, LVA in idiopathic dilated cardiomyopathy (IDCM) is infrequently documented, with unclear incidence, clinical features, and pathogenesis.
- Understanding LVA in IDCM is crucial for patient management and therapeutic strategies.
Observation:
- A 45-year-old patient with idiopathic dilated cardiomyopathy presented with a left ventricular aneurysm.
- Coronary angiography revealed normal coronary arteries, ruling out typical ischemic causes.
- The aneurysm was specifically located in the septal segments of the left ventricle.
Findings:
- The case presents a rare instance of LVA in the context of idiopathic dilated cardiomyopathy.
- The septal location of the aneurysm is atypical compared to previously reported cases.
- The exact mechanism for septal LVA development in this IDCM patient remains undetermined.
Implications:
- This case underscores the need for further investigation into the pathogenesis of LVA in IDCM.
- Exploring alternative mechanisms, such as microemboli or unique myocardial vulnerabilities, is warranted.
- Further research may refine diagnostic approaches and treatment for LVA in non-ischemic cardiomyopathies.
Related Concept Videos
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
01:21Coronary Circulation
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...