An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm
The left ventricular aneurysm is one of the most significant complications of myocardial infarction and is defined as the expansion of the ventricular wall. The coronary artery aneurysm is characterized by an abnormal dilation of the localized portion of the coronary artery, and its main cause is at...
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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2015-10-01
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Series: | Journal of Tehran University Heart Center |
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Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/323 |
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author | Mohammad Masoumi Maryam Aliramezany |
author_facet | Mohammad Masoumi Maryam Aliramezany |
author_sort | Mohammad Masoumi |
collection | DOAJ |
description | The left ventricular aneurysm is one of the most significant complications of myocardial infarction and is defined as the expansion of the ventricular wall. The coronary artery aneurysm is characterized by an abnormal dilation of the localized portion of the coronary artery, and its main cause is atherosclerosis. We herein report an unusual case of coronary artery and left ventricular aneurysms in a mitral stenosis patient with normal coronary arteries and no sign of atherosclerosis. This patient was a known case of mitral stenosis due to rheumatic heart disease and was symptomatic despite optimal medical therapy. Laboratory tests were normal, and electrocardiography showed sinus rhythm and left atrium abnormality without pathologic Q wave. Angiographic view illustrated left circumflex artery and left ventricular apical aneurysms. Percutaneous transvenous mitral commissurotomy was performed successfully and the patient was discharged with Warfarin and a beta blocker. No symptom was observed at six months' follow-up. |
first_indexed | 2024-12-12T10:05:35Z |
format | Article |
id | doaj.art-8c60be5c234f4b18b51a7a4bc6909355 |
institution | Directory Open Access Journal |
issn | 1735-8620 2008-2371 |
language | English |
last_indexed | 2024-12-12T10:05:35Z |
publishDate | 2015-10-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Journal of Tehran University Heart Center |
spelling | doaj.art-8c60be5c234f4b18b51a7a4bc69093552022-12-22T00:27:53ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-10-0191319An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical AneurysmMohammad Masoumi0Maryam Aliramezany1Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran.Research Center for Health Services Management, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.The left ventricular aneurysm is one of the most significant complications of myocardial infarction and is defined as the expansion of the ventricular wall. The coronary artery aneurysm is characterized by an abnormal dilation of the localized portion of the coronary artery, and its main cause is atherosclerosis. We herein report an unusual case of coronary artery and left ventricular aneurysms in a mitral stenosis patient with normal coronary arteries and no sign of atherosclerosis. This patient was a known case of mitral stenosis due to rheumatic heart disease and was symptomatic despite optimal medical therapy. Laboratory tests were normal, and electrocardiography showed sinus rhythm and left atrium abnormality without pathologic Q wave. Angiographic view illustrated left circumflex artery and left ventricular apical aneurysms. Percutaneous transvenous mitral commissurotomy was performed successfully and the patient was discharged with Warfarin and a beta blocker. No symptom was observed at six months' follow-up.https://jthc.tums.ac.ir/index.php/jthc/article/view/323Heart ventricles • Coronary vessels • Aneurysm • Mitral valve stenosis |
spellingShingle | Mohammad Masoumi Maryam Aliramezany An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm Journal of Tehran University Heart Center Heart ventricles • Coronary vessels • Aneurysm • Mitral valve stenosis |
title | An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm |
title_full | An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm |
title_fullStr | An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm |
title_full_unstemmed | An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm |
title_short | An Unusual Case of Mitral Stenosis with Coronary Ar- tery and Left Ventricular Apical Aneurysm |
title_sort | unusual case of mitral stenosis with coronary ar tery and left ventricular apical aneurysm |
topic | Heart ventricles • Coronary vessels • Aneurysm • Mitral valve stenosis |
url | https://jthc.tums.ac.ir/index.php/jthc/article/view/323 |
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