Repair of left ventricular aneurysm in the setting of noncompaction
Michael A Catalano1, Jonathan M Hemli2, Zoran Lasic3
1Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Abstract:
Although left ventricular (LV) aneurysm is a well-described complication of ischemic heart disease, it may less frequently develop in the setting of normal coronary anatomy and myocardial blood supply. LV noncompaction (LVNC) is a particularly rare etiology of LV aneurysm; in the few cases previously reported in the literature, non-surgical management was pursued. In this report, we discuss the surgical repair of an 'idiopathic' LV aneurysm in a patient who presented with multiple thromboembolic events, with LVNC as the likely etiology on the underlying LV pathology. <Learning objective: Left ventricular (LV) noncompaction represents a rare etiology of LV aneurysm; although non-surgical management of this condition has been previously reported, we demonstrate that early surgical intervention is an acceptable treatment option.>.
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