Ventricular restoration in adults with huge congenital left ventricular aneurysm: report of two cases

Congenital ventricular aneurysms (CVA) are rare cardiac anomalies that have been predominantly described in the Black population. They are characterized by an akinetic ventricular protrusion that is commonly located at the basal and apical segments. Although the diagnosis is often incidental and the...

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Bibliographic Details
Published in:The Pan African medical journal 2024, Vol.48, p.8
Main Authors: Mvondo, Charles Mve, Kengni, Hermann Nestor Tsague, Yon, Laurence Carole Ngo, Ngandebe, Amalia Ariane Owona, Sene, Etienne, Ngowe, Marcelin Ngowe
Format: Article
Language:English
Subjects:
Adult
Black People
Case Report
Chest Pain - etiology
Dyspnea - etiology
Echocardiography, Doppler
Female
Heart Aneurysm - congenital
Heart Aneurysm - diagnosis
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - surgery
Heart Ventricles - diagnostic imaging
Humans
Magnetic Resonance Imaging
Male
Young Adult
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Summary:Congenital ventricular aneurysms (CVA) are rare cardiac anomalies that have been predominantly described in the Black population. They are characterized by an akinetic ventricular protrusion that is commonly located at the basal and apical segments. Although the diagnosis is often incidental and the majority of patients are asymptomatic, life-threatening events such as persistent ventricular arrhythmias, CVA rupture, and heart failure are not uncommon. However, no standardized therapy is currently available and good outcomes have been reported with both conservative and surgical management. We report the cases of two young Black African patients with huge symptomatic CVA lesions who underwent successful surgical repair with a ventricular restoration technique. Both cases were consulted for chest pain and dyspnea. Chest X-ray and transthoracic Doppler echocardiography suggested the diagnosis. Thoracic angioscanner and thoracic magnetic resonance imaging confirmed the diagnosis. Both patients underwent successful surgery. This case report aims to revisit the diagnostic and therapeutic approach to this rare pathology, in our professional environment.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2024.48.8.36988