Left Ventricular Aneurysm with Recurrent Ventricular Tachycardia

Main Article Content

Ana Chelikikj
Marija Vavlukis
Dejan Risteski
Zhan Zimbakov
Bekim Pocesta
Elizabeta Srbinovska
Lidija Poposka

Abstract

BACKGROUND: Ventricular tachyarrhythmias as complication of LV aneurysm are not unusual complication and can lead to sudden cardiac death. The accepted consensus for treatment of LV aneurism is medical therapy unless other indication for surgery exists, or existing treatment cannot control the symptoms.


CASE REPORT: A 29-year-old man with no prior cardiac history was admitted to the hospital, after an episode of chest pain accompanied with fatigue and dizziness, for the last 2 h. His electrocardiogram on admission showed ventricular tachycardia with heart rate 260/min. Selective coronarography was performed and no significant stenosis of coronary artery was found. On transthoracic echocardiography, the left ventricle was mildly dilated (ejection fraction 50%), but whole apex was akinetic with giant aneurism.


CONCLUSION: Aneurysms of the LV, sometimes associated with malignant ventricular arrhythmias, are very late complication of myocardial infarction. Resection of the aneurysm, although has no high-class recommendation (2), can cure the ventricular arrhythmias, as in presented case.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Chelikikj A, Vavlukis M, Risteski D, Zimbakov Z, Pocesta B, Srbinovska E, Poposka L. Left Ventricular Aneurysm with Recurrent Ventricular Tachycardia. SEE J Cardiol [Internet]. 2021 Dec. 28 [cited 2024 Apr. 23];2(1):12-4. Available from: https://seejca.eu/index.php/seejca/article/view/6030
Section
Cardiac Electropysiology

References

Lawrence G, Pamana R, Robert F. Ventricular aneurysm in primary myocardial disease. Angiology. 1973;24(7):385-90. https://doi.org/10.1177/000331977302400702 PMid:4268966 DOI: https://doi.org/10.1177/000331977302400702

Priori SG, Blomström-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, et al. 2015 ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European society of cardiology (ESC). Endorsed by: Association for European paediatric and congenital cardiology (AEPC). Eur Heart J. 2015;36:2793-867. https://doi.org/10.1093/eurheartj/ ehv316 PMid:26320108

Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio AL, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries. Eur Heart J. 2017;38(3):143-53. https://doi.org/10.1093/eurheartj/ ehw149 PMid:28158518 DOI: https://doi.org/10.1093/eurheartj/ehw149

Shankar PR, Hygriv RB, Jaishankar S, Narasimban C. Substrate map based electrical isoation of an apical aneurysm-a strategy for ablation in ischemic scar ventricular tachycadia. Indian Heart J. 2010;62(4):346-7. PMid:21280478

Rosu R, Cismaru G, Muresan L, Puiu M, Andronache M, Gusetu G, et al. Catheter ablation of ventricular tachycardia related to a septo-apical left ventricular aneurysm. Int J Clin Exp Med. 2015;8(10):19576-80. PMid:26770613

Likoff W, Baily CP. Ventriculoplasty: Exision of myocardial aneurysm; report of a successful case. J Am Med Assoc. 1955;158(11):915-20. https://doi.org/10.1001/jama.1955.02960110021006 PMid:14381268 DOI: https://doi.org/10.1001/jama.1955.02960110021006

Eren E, Bozbuga N, Toker ME, Keles C, Rabus MB, Yildirim O, et al. Surgical treatment of post-infarction left ventricular pseudoaneurysm: A two-decade experience. Tex Heart Inst J. 2007;34(1):47-51. PMid:17420793

Most read articles by the same author(s)