Repair of the giant left ventricular inferior wall aneurysm

Abstract

Background. Ventricular aneurysms develop after transmural myocardial infarctions and can significantly worsen clinical outcomes. We report an unusual case of the giant inferior wall aneurysm, successfully treated by surgical resection. Case presentation. The 65-year-old male was diagnosed with a giant inferior wall left ventricular aneurysm after worsening of his dyspnoea. Four months prior to the admission, he had ST-elevation inferior myocardial infarction, complicated by pericarditis. During the 4-month follow-up period, the aneurysm has significantly increased in size. Unrecognized ventricular wall rupture was supposed.The precise anatomy of the aneurysm was established by cardiac MRI. Surgical resection of the aneurysm was performed with uneventful patient's recovery. Conclusion. Timely surgical treatment of the rapidly growing aneurysms is recommended. In such cases cardiac MRI can specify anatomy and coordinate surgical strategy.