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Giant lateral left ventricular wall aneurysm sparing the submitral apparatus
Andreas Habertheuer1, Martin Andreas, Dominik Wiedemann
1Division of Cardiac Surgery, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. andreas.habertheuer@meduniwien.ac.at.
Journal of Cardiothoracic Surgery
|November 1, 2013
Summary
A rare giant left ventricular aneurysm, despite its size and proximity to the mitral valve, did not impair valve function. Surgical ventricular restoration was successfully performed in this unique case.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Left ventricular aneurysms (LVAs) are a serious complication of myocardial infarction, often leading to heart failure and mitral insufficiency.
- Giant LVAs, particularly in the submitral region, are uncommon and typically involve the mitral apparatus.
Observation:
- A 57-year-old male presented with a giant LVA (15x10x8 cm) following coronary artery disease and myocardial infarction.
- The aneurysm was located near the posterior mitral annulus but the mitral valve apparatus remained intact and competent.
Findings:
- The patient had a giant LVA with preserved mitral valve function, a rare clinical presentation.
- Successful surgical ventricular restoration was achieved, addressing the aneurysm while maintaining valve integrity.
Implications:
- This case highlights the possibility of intact mitral valve function even with massive LVAs in close proximity.
- Successful surgical repair of giant LVAs is feasible, offering a potential treatment option for selected patients.
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