Kalinin RE, Suchkov IA, Mzhavanadze ND, Ncheye AF. Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report. World J Clin Cases 2018; 6(6): 139-142 [PMID: 29988903 DOI: 10.12998/wjcc.v6.i6.139]
Corresponding Author of This Article
Igor Aleksandrovich Suchkov, MD, PhD, Professor, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Vysokovoltnaya 9, Ryazan 390026, Russia. suchkov_med@mail.ru
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2018; 6(6): 139-142 Published online Jun 16, 2018. doi: 10.12998/wjcc.v6.i6.139
Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Ryazan 390026, Russia
Author contributions: Kalinin RE and Suchkov IA designed the report; Mzhavanadze ND and Ncheye AF collected the patient’s clinical data; Suchkov IA, Mzhavanadze ND and Ncheye AF analyzed the data and wrote the paper.
Informed consent statement: The patient was not required to give informed consent to this case report because the analysis used completely anonymous data; the consent was obtained before performing any medical investigation or start of treatment as required.
Conflict-of-interest statement: No conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Igor Aleksandrovich Suchkov, MD, PhD, Professor, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Vysokovoltnaya 9, Ryazan 390026, Russia. suchkov_med@mail.ru
Telephone: +7-9038-362417 Fax: +7-4912-460808
Received: January 22, 2018 Peer-review started: January 22, 2018 First decision: February 9, 2018 Revised: February 14, 2018 Accepted: April 1, 2018 Article in press: April 1, 2018 Published online: June 16, 2018 Processing time: 149 Days and 9.1 Hours
Abstract
We present a case of a 64-year-old woman with signs of debilitating condition including anginal chest pain, exertional dyspnea, and depression. The patient had previously suffered from a myocardial infarction after a loss of a close family member. Workup showed a posterobasal left ventricular aneurysm and moderate to severe mitral regurgitation in the absence of coronary atherosclerosis. Routine ultrasonography revealed abdominal aortic aneurysm and intraabdominal aortic deviation. The patient was immediately started on optimal medical treatment. On repeat assessment general condition was satisfactory, vital signs were normal, and investigations showed no signs of progressive heart failure or other significant clinical changes. Although prognosis in patients with myocardial infarction with normal coronary arteries is generally considered favorable, mechanical complications such as posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation are possible.
Core tip: Patients with myocardial infarction with normal coronary arteries may develop mechanical complications such as posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation.
