Two Large Left Ventricular Aneurysms in an Asymptomatic Patient
DOI:
https://doi.org/10.2015/hc.v5i2.225Abstract
A 54-year-old man, smoker with uncontrolled hypertension, and history of a thromboembolic episode to the ophthalmic artery was subjected to transthoracic echocardiography which revealed very low left ventricular (LV) ejection fraction (20%) with a large dyskinetic- aneurysmatic area involving the middle and apical parts of the LV containing a thrombus. LV angiography showed the anterior aneurysm, as well as a second posterior wall pseudoaneurysm, confirmed by magnetic resonance imaging also filled with mural thrombus. This case, due to the absence of symptoms for over one year, posed a therapeutic dilemma and was treated conservatively.
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