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Left Ventricular Aneurysm

Bulging of the left ventricular wall after a previous myocardial infarction.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Left Ventricular Aneurysm?

A left ventricular aneurysm typically develops after a large anterior myocardial infarction, as scar tissue thins and bulges outward. This non-contractile or dyskinetic segment reduces cardiac output and increases hemodynamic load.

Stagnant blood within the aneurysm promotes mural thrombus formation. Systemic embolism, ventricular arrhythmias and heart failure are the three main complications of a left ventricular aneurysm.

Diagnosis is made by echocardiography, cardiac MRI or ventriculography. Asymptomatic patients are followed medically, while surgical aneurysmectomy may be required for complicated cases.

Symptoms

Chronic heart failure symptoms
Exertional dyspnea
Ventricular arrhythmias and palpitations
Systemic embolism (stroke, mesenteric ischemia)
Syncope
Anginal chest pain
Dyskinetic apical impulse

Risk Factors

Previous large anterior MI
Late revascularization
Total LAD occlusion
Single-vessel disease
Female sex
Advanced age
Hypertension

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent ST elevation after MI
  • New arrhythmia or thromboembolic event
  • Worsening heart failure
  • New syncopal episodes

Treatment Methods

01
ACE inhibitors and beta-blockers
02
Anticoagulation when thrombus is present
03
Antiarrhythmic therapy and ICD when indicated
04
Surgical aneurysmectomy in selected cases
05
SGLT2 inhibitors for heart failure
06
Cardiac rehabilitation

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Related Health Topics

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Hypertension (High Blood Pressure)

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Hypertension is a condition in which blood pressure readings remain above 140/90 mmHg; early treatment helps prevent serious complications.

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Heart Failure

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Heart failure is a chronic cardiac condition characterized by shortness of breath, leg swelling, and fatigue.

Heart Attack (Myocardial Infarction)

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A heart attack is a medical emergency; because heart muscle is lost by the minute, immediate intervention saves lives.

Atrial Fibrillation

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Atrial fibrillation is a common arrhythmia characterized by an irregular heartbeat and increased risk of stroke.

Heart Palpitations

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Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

Heart Valve Diseases

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Valve stenosis or regurgitation increases the workload of the heart and, over time, can lead to heart failure.

Aortic Aneurysm

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Aortic aneurysms are often silent; early diagnosis allows treatment before rupture (a life-threatening tear).

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.