Idiopathic left ventricular aneurysm: an unusual substrate of ventricular fibrillation and ventricular tachycardia

J Interv Card Electrophysiol. 1998 Jun;2(2):187-91. doi: 10.1023/a:1009711801321.

Abstract

Idiopathic left ventricular aneurysm (LVA) is a very rare clinical condition. This article describes a patient with idiopathic LVA associated with episodes of ventricular tachycardia and ventricular fibrillation. Clinical and instrumental examinations did not reveal the pathogenesis of the aneurysm. The malignant clinical course suggests that an aggressive antiarrhythmic treatment, including ICD implantation, may be warranted.

Publication types

  • Case Reports

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use
  • Cardiac Output, Low / etiology
  • Defibrillators, Implantable
  • Echocardiography
  • Electrocardiography
  • Heart Aneurysm / complications*
  • Heart Aneurysm / diagnostic imaging
  • Heart Block / etiology
  • Humans
  • Hypertrophy, Left Ventricular / etiology
  • Male
  • Middle Aged
  • Tachycardia, Ventricular / drug therapy
  • Tachycardia, Ventricular / etiology*
  • Tachycardia, Ventricular / therapy
  • Ventricular Fibrillation / drug therapy
  • Ventricular Fibrillation / etiology*
  • Ventricular Fibrillation / therapy

Substances

  • Anti-Arrhythmia Agents