Surgical Resection of a Lupus-Related Left Ventricular Aneurysm in a Patient with Normal Coronary Arteries: Case Report

Authors

  • Louis E. Samuels
  • William D. Spangler
  • Inder Goel

DOI:

https://doi.org/10.1532/HSF98.20041151

Abstract

A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV.

References

Nagaoka H, Funakoshi N, Innami R, et al. 1993. Left ventricular aneurysm, normal coronary arteries and embolization in a patient with systemic lupus erythematosus. Chest 103:287-8.nTakatsu Y, Ryuichi H, Sakaguchi K, et al. 1985. Acute myocardial infarction associated with systemic lupus erythematosus documented by coronary arteriograms. Chest 88:147-9.nFrustaci A, Gentiloni N, Caldarulo M. 1996. Acute myocarditis and left ventricular aneurysm as presentations of systemic lupus erythematosus. Chest 109:282-4.nGiambuzzi M, Dottori V, De Gaetano G, et al. 1996. Combined aortic valve replacement and left ventricular aneurysm implication in systemic lupus erythematosus. J Heart Valve Dis 5:228.nGlower D, Lowe J. Left ventricular aneurysm. 1997. In: Edwards LH, editor. Cardiac surgery in the adult. New York, NY: McGraw-Hill. p 678.n

Published

2005-03-09

How to Cite

Samuels, L. E., Spangler, W. D., & Goel, I. (2005). Surgical Resection of a Lupus-Related Left Ventricular Aneurysm in a Patient with Normal Coronary Arteries: Case Report. The Heart Surgery Forum, 8(2), E75-E76. https://doi.org/10.1532/HSF98.20041151

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