title: Successful aneurysmectomy of a congenital apical left ventricular aneurysm.
abstract: Congenital apical left ventricular aneurysm is a rare clinical entity that is different from congenital left ventricular diverticulum. This aneurysm usually occurs as an isolated anomaly. Its clinical presentation varies, and it is usually diagnosed by exclusion. Herein, we report the case of a 54-year-old man who experienced progressively increasing symptoms of congestive cardiac failure. Through the use of contrast echocardiography and angiocardiography, and upon histopathologic examination, he was diagnosed to have a congenital apical left ventricular aneurysm. He was successfully treated by means of left ventricular aneurysmectomy. We discuss the process of diagnosis and surgical correction of the aneurysm, and we briefly review the pertinent medical literature.
authors.affiliation: Department of Cardiothoracic Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. ujjwalchow@rediffmail.com
authors.forename: Ujjwal K
authors.initials: UK
authors.lastname: Chowdhury
authors.forename: Sandeep
authors.initials: S
authors.lastname: Seth
authors.forename: Avneesh
authors.initials: A
authors.lastname: Sheil
authors.forename: Chander Mohan
authors.initials: CM
authors.lastname: Mittal
authors.forename: Priya
authors.initials: P
authors.lastname: Jagia
authors.forename: Poonam
authors.initials: P
authors.lastname: Malhotra
authors.forename: Srikrishna M
authors.initials: SM
authors.lastname: Reddy
mesh_terms: D000790:Angiocardiography; D006348:Cardiac Surgical Procedures; D003287:Contrast Media; D017023:Coronary Angiography; D004417:Dyspnea / Q000235:genetics / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D006322:Heart Aneurysm / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D006333:Heart Failure / Q000235:genetics / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media
references.citation: Am Heart J. 2001 Mar;141(3):491-9
references.pmid: 11231449
references.citation: Q J Med. 1962 Jul;31:345-60
references.pmid: 13859018
references.citation: Heart. 1997 May;77(5):481-3
references.pmid: 9196423
references.citation: Cathet Cardiovasc Diagn. 1992 May;26(1):31-3
references.pmid: 1499060
references.citation: Am J Dis Child. 1950 Jan;79(1):111-4, illust
references.pmid: 15408626
references.citation: Pediatr Cardiol. 2001 Sep-Oct;22(5):409-11
references.pmid: 11526420
references.citation: Circulation. 2000 Jan 4-11;101(1):109-10
references.pmid: 10618312
references.citation: Br Heart J. 1984 Mar;51(3):321-6
references.pmid: 6421302
references.citation: Br Heart J. 1981 Oct;46(4):432-7
references.pmid: 7295439
references.citation: Chest. 1973 May;63(5):838-40
references.pmid: 4703646