RESUMO
Congenital ventricular aneurysm is an infrequently occurring disease entity that usually affects the left ventricle. Its etiopathology is unknown. Clinical presentation is variable, and the condition is potentially lethal in some cases. Various imaging techniques are useful in diagnosis and enable the condition to be differentiated from congenital left diverticulum. We present a patient with a calcified congenital ventricular aneurysm who presented with supraventricular and ventricular arrhythmias and who was treated by surgical resection.
Assuntos
Aneurisma Cardíaco/congênito , Feminino , Aneurisma Cardíaco/diagnóstico , Aneurisma Cardíaco/cirurgia , Ventrículos do Coração , Humanos , Pessoa de Meia-IdadeRESUMO
El aneurisma ventricular congénito es una entidad infrecuente que generalmente se localiza en el ventrículo izquierdo y cuya etiopatogenia es desconocida. Su presentación clínica es muy variable, pero hay casos potencialmente letales. Varias técnicas de imagen cardíaca pueden ser útiles para su diagnóstico y permiten diferenciarlo de los divertículos ventriculares congénitos, con los que en ocasiones se confunden. Presentamos el caso de un aneurisma ventricular congénito calcificado que cursó con arritmias supraventriculares y ventriculares, y que requirió resección quirúrgica
Congenital ventricular aneurysm is an infrequently occurring disease entity that usually affects the left ventricle. Its etiopathology is unknown. Clinical presentation is variable, and the condition is potentially lethal in some cases. Various imaging techniques are useful in diagnosis and enable the condition to be differentiated from congenital left diverticulum. We present a patient with a calcified congenital ventricular aneurysm who presented with supraventricular and ventricular arrhythmias and who was treated by surgical resection
Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Aneurisma Cardíaco/congênito , Arritmias Cardíacas/etiologia , Aneurisma Cardíaco/diagnóstico , Diagnóstico Diferencial , Aneurisma Cardíaco/cirurgia , Calcinose/fisiopatologia , Taquicardia Supraventricular/complicações , Diplopia/etiologiaRESUMO
The case of a 71-year-old male patient, with symptoms of dizzines and atypical chest pain and a positive isotopic exercise stress test, is reported. Coronary angiography demostrated an anomalous origin of the left circumflex coronary artery from right coronary ostium but no obstructive atherosclerotic coronary lesions. The possible relation between the congenital coronary anomaly and the clinical manifestations of the patient is discussed.
Assuntos
Anomalias dos Vasos Coronários/complicações , Isquemia Miocárdica/etiologia , Idoso , Humanos , MasculinoRESUMO
Presentamos el caso de un varón de 71 años con mareos y molestias torácicas atípicas, que presentó un test de esfuerzo con isótopos positivo. Se realizó una coronariografía que puso de manifiesto una arteria circunfleja que se originaba en el ostium coronario derecho y que no presentaba lesiones ateroscleróticas asociadas. Se discute la posible relación entre la clínica del paciente y la circunfleja anómala (AU)
