{"id":387,"date":"2016-09-19T08:01:22","date_gmt":"2016-09-19T02:31:22","guid":{"rendered":"http:\/\/cardiophile.org\/?p=387"},"modified":"2016-09-19T08:01:22","modified_gmt":"2016-09-19T02:31:22","slug":"left-ventricular-aneurysm","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/","title":{"rendered":"LV aneurysm &#8211; left ventriculogram"},"content":{"rendered":"<h2><span style=\"color: #008000;\">LV aneurysm &#8211; left ventriculogram<\/span><\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/JeTumBtdYX8\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<figure style=\"width: 478px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2008\/10\/lv-aneurysm1.jpg\" alt=\"Left ventricular aneurysm seen on left ventriculogram\" width=\"478\" height=\"449\" \/><figcaption class=\"wp-caption-text\"><em><strong><span style=\"color: #0000ff;\">Left ventricular aneurysm seen on left ventriculogram<\/span><\/strong><\/em><\/figcaption><\/figure>\n<p>This still picture from a left ventricular angiogram shows a bulge in the anterolateral region of the left ventricle in systole suggestive of an aneurysm. A is composed of all three layers of the heart, namely endocardium, myocardium and pericardium. It has a wide neck and is very unlikely to rupture. In contrast, a pseudoaneurysm is a ventricular rupture sealed off by the pericardium. It has a narrow neck and has a high risk of secondary rupture. A true aneurysm can cause arrhythmias due to the viable tissue in the border zone with varying refractory periods which initiate\u00a0re-entrant arrhythmias.\u00a0Refractory heart failure may occur due to wasted systole \u2013 i.e., a portion of the ventricular blood moves in and out of the aneurysm without being pumped out into the aorta.<\/p>\n<p>Huge left ventricular aneurysm with thrombus and calcification has been reported by de Agustin JA et al [1]. The patient presented with chronic heart failure after a previous myocardial infarction. Echocardiogram and left ventriculogram confirmed a giant calcified anteroapical left ventricular aneurysm with very severe left ventricular systolic dysfunction. The patient received an implantable cardioverter defibrillator for primary prevention. Thromboembolism is another potential problem with left ventricular aneurysm containing thrombus.<\/p>\n<figure id=\"attachment_25856\" aria-describedby=\"caption-attachment-25856\" style=\"width: 453px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25856 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/09\/lca-angio.jpg\" alt=\"Left coronary angiogram showing near total occlusion of LAD\" width=\"453\" height=\"477\" \/><figcaption id=\"caption-attachment-25856\" class=\"wp-caption-text\"><span style=\"color: #0000ff;\"><em><strong>Left coronary angiogram showing near total occlusion of LAD<\/strong><\/em><\/span><\/figcaption><\/figure>\n<p>The region of the aneurysm is usually the territory of a poorly collateralized total or near total coronary occlusion. In this case it is near total occlusion of the left anterior descending (LAD) coronary artery beyond a major diagonal with faint antegrade flow (blue arrows).<\/p>\n<p>Surgical repair of the aneurysm is done by left ventricular reconstruction [2]. This is done after complete revascularization by coronary artery bypass grafting. Left internal mammary artery and if necessary, saphenous vein grafts are used for complete revascularization. Mitral valve repair is also done along with if deemed necessary. Surgical left ventricular reconstruction is an optional procedure to improve the left ventricular volume and shape and possibly long term improvement in left ventricular function. The scar tissue is excluded in this open procedure. Though several studies have reported that surgical left ventricular reconstruction is safe and has favorable five year outcomes, the need is still being debated.<\/p>\n<p><strong><span style=\"color: #0000ff;\">References<\/span><\/strong><\/p>\n<ol>\n<li>de Agustin JA, de Diego JJ, Marcos-Alberca P, Rodrigo JL, Almeria C, Mahia P, Luaces M, Garcia-Fernandez MA, Macaya C, de Isla LP. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4513496\/\">Giant and thrombosed left ventricular aneurysm<\/a>. World J Cardiol. 2015 Jul 26;7(7):431-3.<\/li>\n<li>Castelvecchio S, Menicanti L. Left ventricular reconstruction: update to left ventricular aneurysm\/reshaping techniques.\u00a0Multimed Man Cardiothorac Surg. 2013;2013:mmt002. doi: 10.1093\/mmcts\/mmt002.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>LV aneurysm seen on left ventriculogram and near total occlusion of the left anterior descending coronary artery (LAD), which is poorly collateralized.<\/p>\n","protected":false},"author":1,"featured_media":43482,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,22],"tags":[2024,2077,2138,2158,2246,2932,4048],"class_list":["post-387","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-cardiac-surgery","tag-lad","tag-left-anterior-descending-coronary-artery","tag-left-ventricular-angiogram","tag-left-ventriculogram","tag-lv-aneurysm","tag-poorly-collateralized-total-coronary-occlusion","tag-true-aneurysm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LV aneurysm - left ventriculogram showing left ventricular aneurysm<\/title>\n<meta name=\"description\" content=\"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LV aneurysm - left ventriculogram showing left ventricular aneurysm\" \/>\n<meta property=\"og:description\" content=\"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2016-09-19T02:31:22+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"LV aneurysm &#8211; left ventriculogram\",\"datePublished\":\"2016-09-19T02:31:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/\"},\"wordCount\":447,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"keywords\":[\"LAD\",\"left anterior descending coronary artery\",\"left ventricular angiogram\",\"left ventriculogram\",\"LV aneurysm\",\"poorly collateralized total coronary occlusion\",\"true aneurysm\"],\"articleSection\":[\"Angiography and Interventions\",\"Cardiac Surgery\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/\",\"name\":\"LV aneurysm - left ventriculogram showing left ventricular aneurysm\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2016-09-19T02:31:22+00:00\",\"description\":\"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/left-ventricular-aneurysm\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"LV aneurysm &#8211; left ventriculogram\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"LV aneurysm - left ventriculogram showing left ventricular aneurysm","description":"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/","og_locale":"en_US","og_type":"article","og_title":"LV aneurysm - left ventriculogram showing left ventricular aneurysm","og_description":"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.","og_url":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2016-09-19T02:31:22+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"LV aneurysm &#8211; left ventriculogram","datePublished":"2016-09-19T02:31:22+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/"},"wordCount":447,"commentCount":0,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#primaryimage"},"thumbnailUrl":"","keywords":["LAD","left anterior descending coronary artery","left ventricular angiogram","left ventriculogram","LV aneurysm","poorly collateralized total coronary occlusion","true aneurysm"],"articleSection":["Angiography and Interventions","Cardiac Surgery"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/","url":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/","name":"LV aneurysm - left ventriculogram showing left ventricular aneurysm","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#primaryimage"},"thumbnailUrl":"","datePublished":"2016-09-19T02:31:22+00:00","description":"LV aneurysm - left ventriculogram showing left ventricular aneurysm and near total occlusion of the left anterior descending coronary artery.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/left-ventricular-aneurysm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"LV aneurysm &#8211; left ventriculogram"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=387"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/387\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}