A Growing Two-Decade-Old True Left Ventricular Aneurysm: A Case Report
Alexander Kong1, Ramses Ramirez Damera1, Alberto Perez Buitrago2
1Internal Medicine, University of Central Florida-HCA Healthcare Graduate Medical Education (GME), Orlando, USA.
Abstract:
Left ventricular aneurysms (LVA) occur after an infarcted area of the myocardium necrotizes, fibroses, and expands, forming a dyskinetic cavity. Most ventricular aneurysms are asymptomatic and go unrecognized unless found incidentally. Symptoms commonly reported include angina, heart failure, syncope, and even sudden cardiac death. Late complications from left ventricular aneurysms are infrequently reported. This case reports an elderly woman who presented with new-onset angina from an expanding 18-year-old true left ventricular aneurysm that was successfully treated with surgical repair.
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