DMCA
Normal Coronary Artery Patient Presenting with Left Ventricular Aneurysm
BibTeX
@MISC{Id_normalcoronary,
author = {Article Id and Hakan Altay and Cihan Altin and Ali Çoner and Haldun Muderrisoglu},
title = {Normal Coronary Artery Patient Presenting with Left Ventricular Aneurysm},
year = {}
}
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Abstract
Copyright © 2011 Hakan Altay et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Left ventricular aneurysm (LVA) is one of the most important complications of myocardial infarction LVA is strictly defined as a distinct area of abnormal left ventricular diastolic contour with systolic dyskinesia or paradoxical bulging. LVA usually results from myocardial infarction. Other rare aetiologies of LVA include hypertrophic cardiomyopathy, Chagas ’ disease, sarcoidosis, congenital LVA, and idiopathic However, LVA formation in patients with idiopathic dilated cardiomyopathy is rarely reported, and the incidence, clinical features, and pathogenesis of LVA formation in patients with idiopathic dilated cardiomyopathy is not well understood. Here, we present a 45 years old, idiopathic dilated cardiomyopathy patient with LVA and normal coronary arteries The pathogenesis of LVA formation in patients with idiopathic dilated cardiomyopathy is not clear. One acceptable hypothesis is that coronary artery emboli originate from mural thrombi, present in some patients with idiopathic dilated cardiomyopathy, which develop due to local wall infarction and fibrosis. The local myocardial perfusion differences could be seen in idiopathic dilated cardiomyopathy and predominantly found in the anteroposterior axis of the left ventricle. Local fibrosis occurs more frequently on the anterior wall or posterior wall, and less frequently on the lateral or septal wall. In our patient, LVA existed in the septal segments.We could not define the exact mechanism of the septal aneurysm in our patient but we decided to present this abnormal
Keyphrases
left ventricular aneurysm lva formation normal coronary artery patient exact mechanism septal wall acceptable hypothesis original work congenital lva chaga disease cardiomyopathy patient ventricular diastolic contour creative common attribution license coronary artery embolus originate local fibrosis septal segment hypertrophic cardiomyopathy posterior wall anteroposterior axis clinical feature left ventricle local wall infarction rare aetiology myocardial infarction lva local myocardial perfusion difference paradoxical bulging septal aneurysm systolic dyskinesia unrestricted use anterior wall distinct area open access article mural thrombus hakan altay myocardial infarction normal coronary artery important complication
