Key result
A 74-year-old man with an acute inferior myocardial infarction developed a rare true basal inferior left ventricular aneurysm and severe mitral regurgitation, successfully managed with medical therapy.
Case Report (n=1)
True left ventricular aneurysms can rarely develop in the inferior wall following acute myocardial infarction and may cause severe mitral regurgitation due to papillary muscle tethering.
May respond to medical therapy in rare basal inferior LV aneurysm with severe MR post-MI; case report leaves open optimal management.
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.
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Yüksel et al. (2013) conducted a case report in Acute inferior myocardial infarction with left ventricular aneurysm and severe mitral regurgitation (n=1). Medical treatment (including warfarin anticoagulation) was evaluated. A 74-year-old man with an acute inferior myocardial infarction developed a rare true basal inferior left ventricular aneurysm and severe mitral regurgitation, successfully managed with medical therapy.
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