Left Ventricular Aneurysm with Mural Thrombus Occurring in a Patient with Patent Coronary Arteries

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Title ( eng )
Left Ventricular Aneurysm with Mural Thrombus Occurring in a Patient with Patent Coronary Arteries
Creator
Matsuura Yuichiro
Ishihara Hiroshi
Hamanaka Yoshiharu
Kawaue Yasushi
Kanehiro Keiichi
Nomimura Takayuki
Source Title
Hiroshima Journal of Medical Sciences
Volume 37
Issue 4
Start Page 171
End Page 173
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
A patient who developed a left ventricular aneurysm without stenosis of his coronary arteries is presented. A 52-year-old man with a history of severe chest pain 12 years previously, was admitted to our hospital because of right femoral arterial thrombosis. ECG on admission showed QS pattern and ST segment elevation in leads V1-V4. Left ventriculography revealed that the anterior and lateral walls of the left ventricle were akinetic and an aneurysm had developed at the apex. However, the left anterior descending artery was patent without stenosis. Resection of the left ventricular aneurysm and thrombus was performed successfully under cardiopulmonary bypass. The cause of myocardial infarction without a coronary lesion is unknown, but it is assumed that coronary spasm and hypercoagulability may have had some role in the onset of myocardial infarction in this patient.
Keywords
Left ventricular aneurysm
Mural thrombus
Coronary artery without stenosis
Coronary spasm
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 1988-12
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 3243724