A Giant Asymptomatic True Aneurysm Following Silent Myocardial Infarction: A Case Report in an Octogenarian
Oualid Kerrouani *
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
Mohamed Sarsari
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
Soukaina Cherkaoui
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
Mariam Lazraq
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
Jamila Zarzur
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
Mohamed Cherti
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University of Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Background: Large ventricular aneurysms (LVA) are now rare as the result of the widespread availability of percutaneous coronary intervention. Yet it presents adverse events such as recurrent angina, reduced ventricular stroke volume with congestive heart failure, mitral regurgitation, thromboembolism, and ventricular arrhythmias.
Case Presentation: We report the case of an 84-year-old woman who presented with generalized weakness and was subsequently noted to have impressive findings of a chronic large LV true aneurysm with thrombus, which was managed conservatively with medical therapy in the absence of complications.
Conclusion: Left ventricular aneurysms can present with nonspecific symptoms yet carry a high risk of serious complications. This case highlights the importance of comprehensive multimodal imaging in addition to accurate clinical history for diagnosing ventricular aneurysms and guiding appropriate management strategies, particularly in elderly patients.
Keywords: Left ventricular aneurysm, myocardial infarction, cardiac magnetic resonance, multimodality imaging