Murat YÜKSEL, Nihat POLAT, Ertan VURUSKAN, İdris ARDIÇ

Inferior wall aneurysm of the left ventricle and severe mitral regurgitation following acute myocardial infarction

Sol ventrikül anevrizmaları primer perkütan koroner girişim çağında nadir görülmektedir. Gerçek anevrizmalar genellikle ventrikülün apeksine yerleşiktir ve inferiyor duvarda yerleşimi çok nadirdir. Bu yazıda 74 yaşında bir erkek hastada akut inferior myokart enfarktüsü seyrinde gelişen bazal inferiyor yerleşimli gerçek anevrizma olgusu sunduk. Anevrizma sol ventrikülografi ile tespit edildi. Anevrizma ve yol açtığı ileri mitral yetersizliği ekokardiyografi ile doğrulandı

Anahtar Kelimeler:

Gerçek ventriküler anevrizma, ciddi mitral yetersizliği, koroner anjiyografi, ventrikülografi, ekokardiyografi

Inferior wall aneurysm of the left ventricle and severe mitral regurgitation following acute myocardial infarction

Left ventricular aneurysms are seen rarely in primary percutaneous coronary interventional era. True aneurysms are usually localized to apex of the ventricle and it\'s very rare to develop in the inferior wall. In this paper, we presented a true left ventricle aneurysm, localized at the basal inferior wall which is developed in the course of subacute inferior myocardial infarction of a 74-years-old man. Aneurysm is detected during left ventriculography. The true ventricular aneurysm and consequent severe mitral regurgitation caused by tethering of mitral aparatus are confirmed with transthoracic echocardiography.

Keywords:

True ventricular aneurysm, severe mitral regurgitation, coronary angiography, ventriculography, echocardiography,

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Weisman HF, Healy B. Myocardial infarct expansion, in- farct extension, and reinfarction: pathophysiologic con- cepts. Prog Cardiovasc Dis 1987;30:73-110.
Vargas SO, Sampson BA, Schoen FJ. Pathologic detec- tion of early myocardial infarction: a critical review of the evolution and usefulness of modern techniques. Mod Pathol 1999;12:635-45.
Hirai T, Fujita M, Nakajima H, Asanoi H, Yamanishi K, Ohno A, Sasayama S. Importance of collateral circulation for prevention of left ventricular aneurysm formation in acute myocardial infarction. Circulation 1989;79:791-6.
Abildstrom SZ, Ottesen MM, Rask-Madsen C, et al. Sudden cardiovascular death following myocardial infarction: the importance of left ventricular systolic dysfunction and congestive heart failure. Int J Cardiol 2005;30;104:184-9.
Cohen M, Wiener J, Pichard A, Holt J, Smith HJ, Gorlin R. Determinants of ventricular tachycardia in patients with coronary artery disease and ventricular aneurysm: Clinical, hemodynamic and angiographic factors. Am J Cardiol 1983;51:61-4.
Libby P, Bonow RO, Mann DL, Zippes DP. Braunwald's heart disease: a textbook of cardiovascular medicine 8th ed. Philadelphia, PA, Saunders Elsevier Inc 2008:1285.
Lepeyre AC, Steele PM, Kazmier FJ, Chesebro JH, Vliestra RE, Fuster V. Systemic embolism in chronic left ventricu- lar aneurysm: Incidence and the role of anticoagulation. J Am Coll Cardiol 1985;6:534-8.
Crawford MH, DiMarco JP. Crawford Cardiology 1th edi- tion. England ,Mosby Interantional Ltd. 2003:1-16.