Left ventricular aneurysms developed in a patient with systemic sclerosis.
A 60-year-old woman with systemic sclerosis, lung fibrosis, and primary biliary cirrhosis was admitted to our hospital because of heart failure. Ventricular aneurysms were found in the apex and the posterior wall of the left ventricle by angiocardiography; however, there was no sign of coronary artery stenosis. A myocardial biopsy specimen revealed diffuse focal myocardial fibrosis. In this case, the patient with systemic sclerosis developed a rare complication of ventricular aneurysms without coronary disease.
Taniguchi
Yoshinori
Y
Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku, 783-8505, Japan. yoshii-tan@star.quolia.com
Nishiyama
Susumu
S
Yoshinaga
Yasuhiko
Y
Miyawaki
Shoji
S
Hashimoto
Kozo
K
D000959:Antihypertensive Agents / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000150:complications* / Q000473:pathology; D017023:Coronary Angiography; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004719:Endomyocardial Fibrosis / Q000209:etiology / Q000473:pathology; D005260:Female; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000150:complications / Q000188:drug therapy; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D011658:Pulmonary Fibrosis / Q000150:complications / Q000188:drug therapy; D012595:Scleroderma, Systemic / Q000150:complications* / Q000473:pathology; D016896:Treatment Outcome; D014580:Ursodeoxycholic Acid / Q000627:therapeutic use
D000959:Antihypertensive Agents; D004232:Diuretics; D010975:Platelet Aggregation Inhibitors; D014580:Ursodeoxycholic Acid; D011239:Prednisolone