Clinical and diagnostic features of patients with coronary heart disease, complicated by posterior basal aneurysm of the left ventricle
Abstract
Aneurysm of left ventricle is a frequent complication of Q-myocardial infarction (MI). According to the literature data they occur in 13–20% of patients with transmural MI. Posterior basal aneurysm of the left ventricle are rarely diagnosed because of lack of ECG and ECHO signs, so verification of clinical and diagnostic features is important.
For patients with transmural MI of posterior localization due to RCA occlusion, necessary to carry ventriculography, which shows in 100% the presence or absence of posterior basal aneurysm of the left ventricle, its size and necessity of surgical correction.
In the Institute for the period from 2000 to 2015yy we performed 11.000 of operations for coronary artery disease, including left ventricular aneurysm which was diagnosed in 1856 (16,9%) patients. Aneurysms of posterior basal localization was found in 142 (7,6%) patients, resection of posterior basal aneurysm was performed in 85 (59.8%) patients.
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