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Giant left ventricular aneurysm
The Journal of Cardiovascular Surgery
|February 1, 1993
Summary
A left ventricular aneurysm caused esophageal compression, leading to dysphagia and hoarseness in a patient. Surgical aneurysmectomy successfully resolved these symptoms, highlighting a rare but treatable cause.
Area of Science:
- Cardiology
- Gastroenterology
- Thoracic Surgery
Background:
- Left ventricular aneurysms are uncommon complications of myocardial infarction.
- Aneurysms can cause mass effect, leading to symptoms from adjacent organ compression.
- Esophageal compression by cardiac structures is a rare clinical presentation.
Observation:
- A 65-year-old female with a known inferior left ventricular aneurysm presented with acute onset dysphagia and hoarseness.
- Barium swallow examination revealed extrinsic compression of the esophagus.
- The patient's symptoms were attributed to the mass effect of the left ventricular aneurysm.
Findings:
- Successful surgical resection of the left ventricular aneurysm (aneurysmectomy) was performed.
- Post-operatively, the patient experienced complete resolution of dysphagia and hoarseness.
- This case demonstrates the successful management of dysphagia caused by a left ventricular aneurysm.
Implications:
- Left ventricular aneurysms should be considered in the differential diagnosis of extrinsic esophageal compression.
- Surgical intervention can effectively alleviate symptoms caused by cardiac mass effect on the esophagus.
- This case underscores the importance of a multidisciplinary approach in managing complex cardiovascular complications.