Kalinin RE, Suchkov IA, Mzhavanadze ND, Ncheye AF. Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report. World J Clin Cases 2018; 6(6): 139-142 [PMID: 29988903 DOI: 10.12998/wjcc.v6.i6.139]
Corresponding Author of This Article
Igor Aleksandrovich Suchkov, MD, PhD, Professor, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Vysokovoltnaya 9, Ryazan 390026, Russia. suchkov_med@mail.ru
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2018; 6(6): 139-142 Published online Jun 16, 2018. doi: 10.12998/wjcc.v6.i6.139
Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Ryazan 390026, Russia
Author contributions: Kalinin RE and Suchkov IA designed the report; Mzhavanadze ND and Ncheye AF collected the patient’s clinical data; Suchkov IA, Mzhavanadze ND and Ncheye AF analyzed the data and wrote the paper.
Informed consent statement: The patient was not required to give informed consent to this case report because the analysis used completely anonymous data; the consent was obtained before performing any medical investigation or start of treatment as required.
Conflict-of-interest statement: No conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Igor Aleksandrovich Suchkov, MD, PhD, Professor, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Vysokovoltnaya 9, Ryazan 390026, Russia. suchkov_med@mail.ru
Telephone: +7-9038-362417 Fax: +7-4912-460808
Received: January 22, 2018 Peer-review started: January 22, 2018 First decision: February 9, 2018 Revised: February 14, 2018 Accepted: April 1, 2018 Article in press: April 1, 2018 Published online: June 16, 2018
ARTICLE HIGHLIGHTS
Case characteristics
Angina-like chest pain, exertional dyspnea, and anxiety.
Clinical diagnosis
Posterobasal left ventricular aneurysm and moderate to severe mitral regurgitation in the absence of coronary atherosclerosis.
Differential diagnosis
Differential diagnosis with coronary artery disease due to atherosclerosis. Angiography revealed no stenotic or occlusive lesions.
Imaging diagnosis
Electrocardiography, echocardiography, angiography, and duplex ultrasonography were used in this case.
Treatment
The patient received aspirin 75 mg QD, rosuvastatin 10 mg QD, amlodipine 5 mg, lisinopril 10 mg QD, and was started on bisoprolol 2.5 mg BID, indapamide 1.5 mg QD, eplerenone 25 mg QD.
Term explanation
MINCA: Myocardial infarction with normal coronary arteries.
Experiences and lessons
Myocardial infarction with normal coronary arteries may lead to the development of mechanical complications such as a posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation, which requires close monitoring and follow-up care.
