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Calcified left ventricular aneurysm in a 6-year-old boy. Case report
Cardiology
|January 1, 1983
Summary
A rare calcified left ventricular aneurysm in a child was discovered via chest X-ray. The condition may stem from myocardial underperfusion and infarction, potentially linked to coronary vein fistulas.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Cardiac Surgery
Background:
- Left ventricular aneurysms are rare in children, with unknown etiology.
- Calcified left ventricular aneurysm is an exceptionally uncommon presentation.
Observation:
- A 6-year-old asymptomatic boy presented with a calcified left ventricular aneurysm found on routine chest X-ray.
- Coronary arteriography revealed no arterial anomalies but early filling of right coronary veins via small arteriovenous fistulas.
Findings:
- The findings suggest a potential link between myocardial underperfusion, infarction, and subsequent aneurysm formation.
- The arteriovenous fistulas may have contributed to peripheral myocardial underperfusion.
Implications:
- This case highlights a rare pediatric cardiac anomaly and its potential pathophysiology.
- Surgical intervention (aneurysmectomy) was successfully performed, offering a treatment option for this condition.