Congenital left ventricular aneurysm: a cause of impaired myocardial torsion and peripheral thrombo-embolic events.
Congenital aneurysms of the left ventricle (LV) are rare cardiac abnormalities and in most instances, are asymptomatic. However, some patients may present cardiac rupture, tamponade, ventricular arrhythmias, and eventually sudden death. Herein, we describe a case of a 64-year-old male patient who was hospitalized for critical limb ischaemia because of an acute embolic event. Transthoracic contrast echocardiography revealed a congenital aneurysm of the LV apex with a small thrombus and a reduced LV ejection fraction. Speckle tracking imaging showed an impaired myocardial torsion. Diagnosis was confirmed after surgical resection of the aneurysm. LV torsion and ejection fraction were normalized after surgery.
Ikonomidis
Ignatios
I
Second Cardiology Department, University of Athens, Attikon Hospital, Perikleous 19, N. Chalkidona, Athens 14343, Greece. ignoik@otenet.gr
Varounis
Christos
C
Paraskevaidis
Ioannis
I
Parissis
John
J
Lekakis
John
J
Anastasiou-Nana
Maria
M
D004452:Echocardiography; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications* / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000209:etiology*; D013318:Stroke Volume; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology*; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology*; D016277:Ventricular Function, Left