Surgical repair of multiple congenital left ventricular aneurysms with rupture into left atrium

Jignesh Kothari1, Manish Hinduja1, Kinnaresh Baria1

  • 1Department of Cardiovascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center (Affiliated to B.J. Medical College, Ahmedabad), New Civil Hospital Campus, Asarwa, Ahmedabad, India.

Insights

Congenital left ventricular aneurysms (CLVA) are rare, especially when rupturing into the left atrium (LA). This case highlights surgical management of a patient with multiple CLVAs, one rupturing into the LA.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Congenital left ventricular aneurysm (CLVA) is a rare condition.
  • Multiple CLVAs are exceptionally uncommon.
  • Rupture into the left atrium (LA) presents unique challenges.

Observation:

  • A 17-year-old male presented with two CLVAs.
  • One of the CLVAs had ruptured into the left atrium.
  • The patient's clinical presentation and diagnostic findings were analyzed.

Findings:

  • Successful surgical management of a ruptured CLVA into the LA was achieved.
  • The case demonstrates the feasibility of surgical intervention in complex CLVA scenarios.
  • Literature review indicates rarity and varied presentations of CLVA.

Implications:

  • This case expands the understanding of CLVA presentations and rupture mechanisms.
  • Surgical intervention can be a viable option for life-threatening CLVA complications.
  • Further research into CLVA etiology and long-term outcomes is warranted.

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