학술논문

Giant left ventricular inferior wall aneurysm as a late complication after myocardial infarction: A case report.
Document Type
Article
Source
Echocardiography. Mar2023, Vol. 40 Issue 3, p259-265. 7p.
Subject
*MYOCARDIAL infarction complications
*LEFT heart ventricle
*ECHOCARDIOGRAPHY
*MITRAL valve insufficiency
*ANEURYSMS
*CORONARY angiography
*CORONARY artery disease
Language
ISSN
0742-2822
Abstract
A case of a 64‐year‐old patient who was referred to interventional cardiology unit in order to qualify her to mitral valve repair is presented. Transthoracic echocardiography revealed a giant inferior wall basal aneurysm of the left ventricle (44 mm × 31 mm, 57 ml) and coronary angiography revealed chronic total occlusion of the proximal right coronary artery. The patient refused surgical treatment and was treated with pharmacotherapy alone. At 1 year follow‐up, clear progression of the disease was observed. Based on this case study, we would cautiously suggest that in similar cases of large inferobasal wall aneurysms causing severe MR, OMT may be insufficient to prevent disease progression, and that early surgical intervention may be preferred. [ABSTRACT FROM AUTHOR]