Idiopathic 'true' left ventricular aneurysm

Thorsten Leucker, Vineet Agrawal, Hussein Rahim, Joel Price, Steven Jones

Research output: Contribution to journalArticle


We report the case of a 67-year-old patient who presented with anginal symptoms to the hospital. Computed tomographic angiography, to rule out a pulmonary embolism, showed a left ventricular apical outpouching. The patient underwent further imaging modalities, including contrast echocardiography (TTE) and cardiovascular magnetic resonance imaging (CMR), which were suggestive of a true left ventricular aneurysm (LVA). The absence of obstructive coronary artery disease on coronary angiography, absence of late enhancement on the CMR, and ultimately the intraoperative findings during surgical resection of the aneurysm, were strong indicators of a non-ischemic etiology of the patient's LVA. Additionally, the patient denied any previous history of cardiac instrumentation to rule out iatrogenic causes of LVA and congenital causes were excluded by a previous echocardiogram. Finally, history and presenting electrocardiogram did not reveal any other underlying obvious causes for the LVA. Excluding all common causes for the LVA an idiopathic cause seemed most likely..

Original languageEnglish (US)
Pages (from-to)202-204
Number of pages3
JournalJournal of Cardiology Cases
Issue number6
Publication statusPublished - Dec 1 2015



  • Aneurysm
  • Cardiac surgery
  • Imaging
  • Magnetic resonance imaging
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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