A giant calcified aneurysm of the basal inferior wall: a rare phenomenon
Left ventricular aneurysms (LVA) are mainly a late consequence of transmural myocardial infarction. Approximately 80% of LVA are located in the anterior and/or apical walls, most commonly associated with left anterior descending artery occlusion but any region may be engaged.Basal inferior wall aneu...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2020-10-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/37/193/pdf/193.pdf
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| _version_ | 1818262267910684672 |
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| author | Emna Bennour Ahmed Sghaier Amine Jemel Lobna Laroussi Kamoun Ikram Sonia Marrakchi Neji Henda Kachboura Salem |
| author_facet | Emna Bennour Ahmed Sghaier Amine Jemel Lobna Laroussi Kamoun Ikram Sonia Marrakchi Neji Henda Kachboura Salem |
| author_sort | Emna Bennour |
| collection | DOAJ |
| description | Left ventricular aneurysms (LVA) are mainly a late consequence of transmural myocardial infarction. Approximately 80% of LVA are located in the anterior and/or apical walls, most commonly associated with left anterior descending artery occlusion but any region may be engaged.Basal inferior wall aneurysms are rare and constitute nearly 3% of all LVA. A calcified LVA is seldom observed in modern clinical practice. And a calcified basal inferior LVA is an even rarer coincidence. We report a case of an 82-year-old women with life threatening arrhythmia revealing a giant calcified aneurysm of the basal inferior wall, medically treated with good outcomes. The exact incidence of left ventricular aneurysms (LVA) following myocardial infarctions is hard to precise but it is clearly decreasing. Eighty percent (80%) of LVA are located in the anterior or apical walls, but any region may be engaged. Basal inferior wall aneurysms constitute 3% of all LVA. Echocardiography is the first diagnostic tool and there is still no clear guidelines on how to treat LVAs. Surgery is preferred but medical treatment may help improve the quality of life. |
| first_indexed | 2024-12-12T19:00:25Z |
| format | Article |
| id | doaj.art-1163ee3901514780898af5042469e706 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-12T19:00:25Z |
| publishDate | 2020-10-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-1163ee3901514780898af5042469e7062022-12-22T00:15:06ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882020-10-013719310.11604/pamj.2020.37.193.2621426214A giant calcified aneurysm of the basal inferior wall: a rare phenomenonEmna Bennour0Ahmed Sghaier1Amine Jemel2Lobna Laroussi3Kamoun Ikram4Sonia Marrakchi5Neji Henda6Kachboura Salem7 Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardio-thoracic Surgery Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Radiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Cardiology Department, Abderrahmen Mami University Hospital, Ariana, Tunis, Tunisia Left ventricular aneurysms (LVA) are mainly a late consequence of transmural myocardial infarction. Approximately 80% of LVA are located in the anterior and/or apical walls, most commonly associated with left anterior descending artery occlusion but any region may be engaged.Basal inferior wall aneurysms are rare and constitute nearly 3% of all LVA. A calcified LVA is seldom observed in modern clinical practice. And a calcified basal inferior LVA is an even rarer coincidence. We report a case of an 82-year-old women with life threatening arrhythmia revealing a giant calcified aneurysm of the basal inferior wall, medically treated with good outcomes. The exact incidence of left ventricular aneurysms (LVA) following myocardial infarctions is hard to precise but it is clearly decreasing. Eighty percent (80%) of LVA are located in the anterior or apical walls, but any region may be engaged. Basal inferior wall aneurysms constitute 3% of all LVA. Echocardiography is the first diagnostic tool and there is still no clear guidelines on how to treat LVAs. Surgery is preferred but medical treatment may help improve the quality of life. https://www.panafrican-med-journal.com/content/article/37/193/pdf/193.pdf aneurysmleft ventriclebasal wallmyocardial infarction |
| spellingShingle | Emna Bennour Ahmed Sghaier Amine Jemel Lobna Laroussi Kamoun Ikram Sonia Marrakchi Neji Henda Kachboura Salem A giant calcified aneurysm of the basal inferior wall: a rare phenomenon The Pan African Medical Journal aneurysm left ventricle basal wall myocardial infarction |
| title | A giant calcified aneurysm of the basal inferior wall: a rare phenomenon |
| title_full | A giant calcified aneurysm of the basal inferior wall: a rare phenomenon |
| title_fullStr | A giant calcified aneurysm of the basal inferior wall: a rare phenomenon |
| title_full_unstemmed | A giant calcified aneurysm of the basal inferior wall: a rare phenomenon |
| title_short | A giant calcified aneurysm of the basal inferior wall: a rare phenomenon |
| title_sort | giant calcified aneurysm of the basal inferior wall a rare phenomenon |
| topic | aneurysm left ventricle basal wall myocardial infarction |
| url |
https://www.panafrican-med-journal.com/content/article/37/193/pdf/193.pdf
|
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