Unusual left ventricular true aneurysm

Аннотация

A 67-year-old male with previous myocardial infarction 13 years earlier, hypertension, smoking history, and type II diabetes presented to the emergency room complaining of shortness of breath. The initial work-up ruled out acute myocardial infarction. Echocardiography showed reduced inferior wall motion. Coronary arteriography demonstrated severe stenosis of the proximal left anterior descending artery, severe stenosis of proximal diagonal artery, total occlusion of the first obtuse marginal branch of the circum¬flex artery, severe stenosis of distal right coronary artery. Left ventriculography demonstrated left ventricular aneu-rysm. The patient underwent coronary artery bypass with repair of left ventricular aneurysm. The aneurysm was located between the posterior descending branch of the right coro¬nary artery and the posterolateral brunch of the circumflex artery. The aneurysm was opened and we found an organ¬ized thrombus in side. The aneurysm was closed with Teflon strips. Postoperative recovery was uneventful.