Key result
Aneurysmectomy and patch closure was successfully performed to treat an asymptomatic left ventricular subepicardial aneurysm before rupture.
Case Report (n=1)
No
Subepicardial aneurysm is a rare but life-threatening complication of myocardial infarction that can be asymptomatic and requires prompt surgical intervention to prevent transluminal rupture.
Silent post-PCI occlusion may underlie LV aneurysm; hypothesis-generating for surveillance protocols.
An asymptomatic 75-year-old female with past medical history of percutaneous coronary intervention for angina pectoris was referred to our department for the management of left ventricular aneurysm which was pointed out on the follow-up echocardiography. Coronary angiography revealed no restenosis of the stent site, but 100% stenosis of a distal segment of the left circumflex artery that had not been detected previously. Transthoracic echocardiography indicated a defect of the myocardium 2cm in diameter in the posterior wall Aneurysmectomy and patch closure was performed successfully before rupture and the lesion was diagnosed as subepicardial aneurysm.
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Shimamura et al. (2016) conducted a case report in Left ventricle subepicardial aneurysm (n=1). Aneurysmectomy and patch closure was evaluated on Successful surgical repair. Aneurysmectomy and patch closure was successfully performed to treat an asymptomatic left ventricular subepicardial aneurysm before rupture.
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