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Published on: December 16, 2022
Case Report: Neonatal heart failure: a rare presentation of congenital left ventricular aneurysm
Aljuhara Alsuayyid1, Mohammed Bin-Moallim1, Omar Altamimi1
1Pediatric Cardiology, King Fahad Medical City, Riyadh, Saudi Arabia.
Insights
Congenital left ventricular aneurysm is rare but serious. This case highlights a potential link to pyruvate dehydrogenase complex deficiency and the challenges in managing this condition in infants, ending tragically.
Area of Science:
- Cardiology
- Genetics
- Pediatrics
Background:
- Congenital left ventricular aneurysm (CLVA) is a rare cardiac anomaly.
- CLVA often presents asymptomatically but carries risks of severe complications.
- Management strategies for CLVA are not well-established in medical literature.
Abstract:
Congenital left ventricular aneurysm is a rare condition. Most patients remain asymptomatic for long periods. However, it carries a significant risk of serious complications, and management approaches are not well documented in the literature. We share our experience with an infant who had a positive genetic test indicating possible autosomal recessive pyruvate dehydrogenase complex deficiency with a non-specific cardiac association. The patient showed reduced cardiac output, received intensive treatment with antifailure medications, and was placed under close clinical observation, with nutritional improvement in preparation for surgical aneurysmectomy. Unfortunately, he was found dead at 6 months of age, possibly due to sudden cardiac death.
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