This case report describes a unique presentation of a congenital left ventricular apical aneurysm without a midline thoraco-abdominal defect, demonstrating long-term survival with medical management.
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Supports medical management for survival in rare congenital LV apical aneurysm; hypothesis-generating, larger studies needed.
We report a unique case of a 33 year old female with congenital aneurysm of the left ventricular apex associated with an aneurysm of the left main coronary artery and surgically repaired supravalvular aortic stenosis. The congenital aneurysm of the left ventricular apex was not associated with a midline thoraco-abdominal defect, as reported in the medical literature. The patient survived two episodes of thrombo-embolism and is well after 10 years of medical follow-up.
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Gupta et al. (1975) studied this question.
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