A giant left ventricular aneurysm in an apparently asymptomatic child. the value of multimodality assessment for risk stratification.
5 affiliations
- 1Iran University of Medical Sciences, Tehran, Iran.
- 2Pediatric Cardiology Department, Rajaie Cardiovascular Research and Medical Institute, Intersection of Niayesh Highway and Valiasr Ave, Tehran, 1995614331, Iran. [email protected].
- 3Pediatric Cardiology Department, Rajaie Cardiovascular Research and Medical Institute, Intersection of Niayesh Highway and Valiasr Ave, Tehran, 1995614331, Iran.
- 4Cardiovascular Imaging Research Center, Rajaie Cardiovascular Research and Medical Institute, Tehran, Iran.
- 5Congenital Heart Diseases Center, Rajaie Cardiovascular Research and Medical Institute, Tehran, Iran.
Abstract
Background
Congenital left ventricular aneurysm (LVA) is a rare abnormality most commonly located at the LV apex. It must be differentiated from left ventricular diverticulum (LVD). Congenital LVA is typically isolated, whereas the latter is often associated with other congenital heart disease and midline thoraco-abdominal wall defects.Case presentation
A large apical LVA was diagnosed in a 3-year-old girl referred after incidental cardiomegaly was detected on chest radiography. At this center, LVA was confirmed by echocardiography, magnetic resonance imaging, and angiography. The patient subsequently underwent surgical aneurysmorrhaphy. Notably, during surgical resection, the aneurysm was found to be filled with massive thrombotic material, composed primarily of extensive thin fibrous tissue and appeared highly prone to rupture. This case highlights the potential discrepancy between clinical presentation and disease severity, especially in a 3 year who is unaware of important clinical symptoms in this regard. The pathological report confirmed the diagnosis.Conclusions
Left ventricular aneurysm appears as an akinetic or dyskinetic protrusion composed primarily of fibrous tissue and lacking organized myocardium. Although some patients can be managed medically, others require surgical intervention to prevent lethal complications.
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BibTeX
@article{tabaei2026giant,
title = {{A giant left ventricular aneurysm in an apparently asymptomatic child. the value of multimodality assessment for risk stratification.}},
author = {Soha Sadeghpoor Tabaei and Fariba Rashidi Ghader and Hojjat Mortezaeian and Fatemeh Abedipoor and Ali Sadeghpour Tabaei and Zahra Ansari and Zahra Naghmehsanj},
journal = {Journal of cardiothoracic surgery},
year = {2026},
month = jul,
doi = {10.1186/s13019-026-04605-9},
url = {https://europepmc.org/article/MED/42907868},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - A giant left ventricular aneurysm in an apparently asymptomatic child. the value of multimodality assessment for risk stratification.
AU - Soha Sadeghpoor Tabaei
AU - Fariba Rashidi Ghader
AU - Hojjat Mortezaeian
AU - Fatemeh Abedipoor
AU - Ali Sadeghpour Tabaei
AU - Zahra Ansari
AU - Zahra Naghmehsanj
PY - 2026
DA - 2026/07/01
JO - Journal of cardiothoracic surgery
DO - 10.1186/s13019-026-04605-9
UR - https://europepmc.org/article/MED/42907868
AB - Background Congenital left ventricular aneurysm (LVA) is a rare abnormality most commonly located at the LV apex. It must be differentiated from left ventricular diverticulum (LVD). Congenital LVA is typically isolated, whereas the latter is often associated with other congenital heart disease and midline thoraco-abdominal wall defects.Case presentation A large apical LVA was diagnosed in a 3-year-old girl referred after incidental cardiomegaly was detected on chest radiography. At this center, LVA was confirmed by echocardiography, magnetic resonance imaging, and angiography. The patient subsequently underwent surgical aneurysmorrhaphy. Notably, during surgical resection, the aneurysm was found to be filled with massive thrombotic material, composed primarily of extensive thin fibrous tissue and appeared highly prone to rupture. This case highlights the potential discrepancy between clinical presentation and disease severity, especially in a 3 year who is unaware of important clinical symptoms in this regard. The pathological report confirmed the diagnosis.Conclusions Left ventricular aneurysm appears as an akinetic or dyskinetic protrusion composed primarily of fibrous tissue and lacking organized myocardium. Although some patients can be managed medically, others require surgical intervention to prevent lethal complications.
SN - 1749-8090
ER -