Work

Surgical reconstruction of coexisting left ventricular aneurysm and pseudoaneurysm in a patient with ventricular tachycardia: a case report

Year: 2026

Type: article

Abstract: Background: Left ventricular (LV) aneurysm and pseudoaneurysm are rare but potentially life-threatening complications of myocardial infarction. Their coexistence poses significant diagnostic and surgical challenges. Case summary: A 69-year-old woman with type II diabetes, hypertension, and dyslipidaemia presented with sustained ventricular tachycardia while remaining haemodynamically stable. Multimodality imaging revealed a chronic myocardial infarction with complete right coronary artery occlusion, a large LV aneurysm, and a focal pseudoaneurysm. Urgent LV reconstruction using a Dacron patch was performed. The postoperative course was uneventful, with preserved sinus rhythm and improved ventricular function. Discussion: This case underscores the importance of comprehensive imaging to characterize complex post-infarction LV remodelling. Surgical exclusion of scarred myocardium effectively restored LV geometry, improved cardiac function, and reduced arrhythmic risk. The successful repair provides insight into the decision-making process regarding optimal timing and technique for LV reconstruction.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytag116

Authors: María Belén Solís Chávez, Manuel Carnero Alcázar, Pedro Marcos-Alberca Moreno, María Vidal Martínez, Luis Carlos Maroto Castellanos

Institution: Hospital Clínico San Carlos

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815