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Incidental Finding of Giant Left Ventricular Aneurysm: Case Report and Literature Review

Muhammad Omar1, Shenjing Li2, Amornpol Anuwatworn2

  • 1Department of Medicine, University of South Dakota Sanford School of Medicine.

South Dakota Medicine : the Journal of the South Dakota State Medical Association
|August 17, 2017
PubMed

Insights

A rare giant left ventricular aneurysm with thrombus was incidentally found in an elderly male patient. This case highlights an uncommon complication of myocardial infarction despite modern treatments.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Pathology

Background:

  • Left ventricular aneurysms and pseudoaneurysms are known complications following myocardial infarction.
  • Modern treatments like percutaneous coronary intervention and ACE inhibitors have reduced their incidence.

Observation:

  • An elderly male patient presented with abdominal pain, unaware of any prior coronary artery disease.
  • Computed tomography revealed an incidental giant left ventricular aneurysm with thrombus and mural calcifications.
  • A potential inflammatory mass was also noted at the rectosigmoid junction.

Findings:

  • The primary finding was a giant left ventricular aneurysm, an unusual presentation in the current era.
  • Associated findings included left ventricular thrombus and mural calcifications.
  • The patient had no history of coronary artery disease.

Implications:

  • This case underscores the importance of considering rare cardiovascular complications even with advanced medical interventions.
  • Incidental findings during imaging for unrelated conditions can reveal significant pathology.
  • Further investigation into the rectosigmoid mass is warranted.

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