title: Giant lateral left ventricular wall aneurysm sparing the submitral apparatus.
abstract: Left ventricular aneurysms are a frequent and serious complication following acute transmural myocardial infarction and are most commonly located at the ventricular apex. The majority of these patients presents with severe mitral insufficiency, congestive heart failure, systemic embolism and sudden cardiac death. Giant aneurysms occurring in a submitral position between anterior and posterior papillary muscles on the lateral ventricular wall constitute a minor entity and those leaving the mitral apparatus intact are extremely rare.Herein, we report the case of a 57 y/o Caucasian male patient with a past medical history of coronary artery disease and myocardial infarction with a giant left ventricular aneurysm measuring 15x10x8 cm in diameter. Despite the size of the aneurysm and its close topographical relation to the posterior mitral annulus the mitral apparatus was intact with a competent valve and normal left atrial size. He underwent successful surgical ventricular restoration.
authors.affiliation: Division of Cardiac Surgery, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. andreas.habertheuer@meduniwien.ac.at.
authors.forename: Andreas
authors.initials: A
authors.lastname: Habertheuer
authors.forename: Martin
authors.initials: M
authors.lastname: Andreas
authors.forename: Dominik
authors.initials: D
authors.lastname: Wiedemann
authors.forename: Claus
authors.initials: C
authors.lastname: Rath
authors.forename: Alfred
authors.initials: A
authors.lastname: Kocher
mesh_terms: D006348:Cardiac Surgical Procedures; D006322:Heart Aneurysm / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*