Interventricular Septal Aneurysm: an Exceptional cause of Sudden Death in Young Adult

Yomn, Naceur

doi:10.19080/jfsci.2018.08.555731

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Among pediatric patients it is associated with congenital heart disease in 0.3% and secondary to trauma or infection in other cases [12] [13]. There are some reports of patients between the ages of 30 and 50 who developed atypical aneurysms, which initially manifest neurological symptoms such as motor aphasia and unilateral hemiparesis, even before presenting cardiac symptoms such as chest pain and dyspnea in exertion [12], as it happened with the case 1. Septal aneurysms have been associated with eccentric flow that constantly hits the septum because of mitral stenosis [14].…”

Section: Discussionmentioning

confidence: 98%

Multi-Image Studies of Atypical Location of Ventricular Aneurysms and Survival: Clinical Cases Series

Camacho-Camacho¹,

Carvajal-Juárez²,

Guatibonza-Zambrano³

et al. 2019

WJCD

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Background: A left ventricular aneurysm is a mechanical complication of a myocardial infarction that frequently develops on the anterior and apical wall. Survival of 3 to 5 years is 27% and 12%, respectively. Our objective is to report 3 cases of ventricular aneurysms in atypical locations and analyze the survival of these patients. Material and Methods: Three patients with suspicion of ventricular aneurysm after acute myocardial infarction who sought attention at our institution were included. All underwent transthoracic echocardiograms (TTE), cardiac magnetic resonance (CMR), nuclear cardiology (NC), coronary angiotomography and cardiac catheterization to assess the location and characteristics of the aneurysms, left ventricular systolic function and the anatomical and functional condition of the coronary arteries. Results: The mean age of studied patients was 58.33 ± 10.37 years. The locations of the ventricular aneurysms were lateral, inferior and septal. The patients received optimal medical treatment to control heart failure and were discharged in stable condition without early mortality. The mean follow-up was 6.33 years (intervals: 2 -9) and during this period the patients were in NYHA functional class I/II. Conclusion: Left ventricular aneurysm is a late mechanical complication of an infarction that can develop in an atypical location. Diagnosis is achieved using non-invasive techniques such as TTE, CMR, NC, and coronary angiotomography. No mortality occurred among the patients during medium and long-term follow-up.All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standard. This study was approved by the Ethical Committee of our institution.

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Section: Discussionmentioning

confidence: 98%

Multi-Image Studies of Atypical Location of Ventricular Aneurysms and Survival: Clinical Cases Series

Camacho-Camacho¹,

Carvajal-Juárez²,

Guatibonza-Zambrano³

et al. 2019

WJCD

View full text Add to dashboard Cite

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Interventricular Septal Aneurysm: an Exceptional cause of Sudden Death in Young Adult

Abstract: Toxicological and mycobacterial examination were negative. Histological examination showed that the two aneurysm walls present a similar architecture: sclera hyaline wall including

Cited by 1 publication

References 15 publications

Multi-Image Studies of Atypical Location of Ventricular Aneurysms and Survival: Clinical Cases Series

Multi-Image Studies of Atypical Location of Ventricular Aneurysms and Survival: Clinical Cases Series

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