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Congenital left ventricular apical aneurysm

L Johansson, M Michaëlsson, S Sjögren

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1976
    PubMed
    Summary
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    A rare fibrous aneurysm of the left ventricular apex was found in a young girl. Surgical removal was successful, highlighting early detection for this asymptomatic cardiac condition.

    Area of Science:

    • Cardiology
    • Pediatric Cardiology
    • Cardiac Surgery

    Background:

    • Left ventricular apex aneurysms are rare cardiac conditions.
    • Fibrous aneurysms are the rarest type, often asymptomatic and undetected until rupture.

    Observation:

    • An incidental chest X-ray revealed a left ventricular apex aneurysm in a healthy 3.5-year-old girl.
    • Diagnostic procedures included heart catheterization and ciné-angiography.
    • Surgical excision of the aneurysm was performed successfully.

    Findings:

    • Microscopic analysis confirmed the aneurysm comprised all three myocardial layers but showed significant fibrosis.
    • The case was classified as a fibrous type of left ventricular aneurysm.
    • No associated developmental defects were noted.

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    Implications:

    • This case underscores the importance of accidental discovery via chest X-ray for rare, asymptomatic cardiac aneurysms.
    • Surgical intervention offers a successful treatment option for fibrous left ventricular aneurysms.
    • Early diagnosis and surgical management can prevent potentially fatal outcomes like rupture and sudden death.