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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Main Authors: Mohammad Masoumi, Maryam Aliramezany
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-10-01
Series:Journal of Tehran University Heart Center
Subjects:
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.
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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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