That’s No Moon, It’s a Giant Left Ventricular Aneurysm: A Case Report and Literature Review

Giant Left Ventricular Aneurysm Review

Authors

  • Tom Liu, MD Department of Surgery, Rutgers - New Jersey Medical School
  • Huzaifa Shakir, MD, FACS Department of Surgery, Rutgers - New Jersey Medical School

DOI:

https://doi.org/10.1532/hsf.4537

Keywords:

Inferior Left Ventricular Aneurysm

Abstract

Background: Although the most common causes of left ventricular aneurysm (LVA) is ischemic disease, other infectious, traumatic, genetic and iatrogenic etiologies exist. With the improvement of medical therapy for ischemic disease and earlier interventions such as PCI, the incidence of large LVA (>3cm) and surgical treatment for it is increasingly rare. 

Case study: We describe a case report and literature review of a giant LVA in a patient, who presented with unclear etiology. A 61-year-old male was referred to our tertiary center. He underwent aneurysmectomy and mitral valve replacement for a giant (10cm x 10cm) LVA with severe mitral regurgitation. 

Conclusion: Surgery for LVA is becoming less common. Early intervention can restore cardiac geometry with good short and long-term surgical outcomes, especially in patients with preserved EF. Ultimately, a giant ventricular aneurysm remains an indication for surgical intervention. Patients with markedly reduced EF may derive reduced benefits from aneurysmectomy.

Author Biography

Huzaifa Shakir, MD, FACS, Department of Surgery, Rutgers - New Jersey Medical School

Huzaifa Shakir, MD is an Assistant Professor of Surgery in The Division of Cardiothoracic Surgery at Rutgers New Jersey Medical School. Dr. Shakir completed his undergraduate studies with distinction as Phi Beta Kappa and Summa Cum Laude in Boston University School of Medicine's seven-year accelerated BA/MD program. Dr. Shakir's skills and interests include: coronary artery bypass grafting, complex aortic/mitral valve surgery, electrophysiology surgery, and minimally invasive thoracic surgery. He is actively involved in the teaching of medical students and residents and manages a robust cardiothoracic program at multiple Northern New Jersey hospital locations.

References

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Published

2022-04-22

How to Cite

Liu, T., & Shakir, H. . (2022). That’s No Moon, It’s a Giant Left Ventricular Aneurysm: A Case Report and Literature Review: Giant Left Ventricular Aneurysm Review. The Heart Surgery Forum, 25(2), E294-E296. https://doi.org/10.1532/hsf.4537

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Section

Articles