Surgical resection of a lupus-related left ventricular aneurysm in a patient with normal coronary arteries: case report
A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy...
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| Veröffentlicht in: | The Heart surgery forum 2005, Vol.8 (2), p.E75-E76 |
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| creator | Samuels, Louis E Spangler, William D Goel, Inder |
| description | A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV. |
| doi_str_mv | 10.1532/HSF98.20041151 |
| format | Article |
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Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV.</description><identifier>ISSN: 1098-3511</identifier><identifier>EISSN: 1522-6662</identifier><identifier>DOI: 10.1532/HSF98.20041151</identifier><identifier>PMID: 15769724</identifier><language>eng</language><publisher>United States</publisher><subject>Anticoagulants - therapeutic use ; Cardiac Catheterization ; Coronary Thrombosis - complications ; Coronary Thrombosis - surgery ; Coronary Vessels - physiopathology ; Echocardiography ; Female ; Heart Aneurysm - diagnosis ; Heart Aneurysm - etiology ; Heart Aneurysm - surgery ; Heart Failure - drug therapy ; Heart Failure - etiology ; Heart Failure - physiopathology ; Heart Ventricles ; Humans ; Lupus Erythematosus, Systemic - complications ; Middle Aged ; Stroke - drug therapy ; Stroke - etiology ; Stroke Rehabilitation ; Ventricular Dysfunction, Left - etiology ; Ventricular Dysfunction, Left - physiopathology</subject><ispartof>The Heart surgery forum, 2005, Vol.8 (2), p.E75-E76</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-6492de02421fae5ebf358c4d32b0bf95ac00bac1bfaf0fd27e405bc1440b856e3</citedby><cites>FETCH-LOGICAL-c326t-6492de02421fae5ebf358c4d32b0bf95ac00bac1bfaf0fd27e405bc1440b856e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15769724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Samuels, Louis E</creatorcontrib><creatorcontrib>Spangler, William D</creatorcontrib><creatorcontrib>Goel, Inder</creatorcontrib><title>Surgical resection of a lupus-related left ventricular aneurysm in a patient with normal coronary arteries: case report</title><title>The Heart surgery forum</title><addtitle>Heart Surg Forum</addtitle><description>A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV.</description><subject>Anticoagulants - therapeutic use</subject><subject>Cardiac Catheterization</subject><subject>Coronary Thrombosis - complications</subject><subject>Coronary Thrombosis - surgery</subject><subject>Coronary Vessels - physiopathology</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart Aneurysm - diagnosis</subject><subject>Heart Aneurysm - etiology</subject><subject>Heart Aneurysm - surgery</subject><subject>Heart Failure - drug therapy</subject><subject>Heart Failure - etiology</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Ventricles</subject><subject>Humans</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Middle Aged</subject><subject>Stroke - drug therapy</subject><subject>Stroke - etiology</subject><subject>Stroke Rehabilitation</subject><subject>Ventricular Dysfunction, Left - etiology</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><issn>1098-3511</issn><issn>1522-6662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EolBYGZEnthTbiZ2GDVWUIlViKMyR45zBKImDP6j67zG0iMkn-bn37h6EriiZUZ6z29VmWc1njJCCUk6P0BnljGVCCHacalLNs5xTOkHn3n8QwgRj4hRNKC9FVbLiDG030b0ZJTvswIMKxg7YaixxF8foMwedDNDiDnTAXzAEZ1TspMNygOh2vsdmSPAog0mfeGvCOx6s61Oess4O0u2wdAGcAX-HlfSQ5ozWhQt0omXn4fLwTtHr8uFlscrWz49Pi_t1pnImQiaKirVAWMGolsCh0Tmfq6LNWUMaXXGpCGmkoo2WmuiWlVAQ3ihaFKSZcwH5FN3sc0dnPyP4UPfGK-i6dICNvhYlZyTJSOBsDypnvXeg69GZPu1fU1L_qK5_Vdd_qlPD9SE5Nj20__jBbf4NID18Ww</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Samuels, Louis E</creator><creator>Spangler, William D</creator><creator>Goel, Inder</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Surgical resection of a lupus-related left ventricular aneurysm in a patient with normal coronary arteries: case report</title><author>Samuels, Louis E ; Spangler, William D ; Goel, Inder</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-6492de02421fae5ebf358c4d32b0bf95ac00bac1bfaf0fd27e405bc1440b856e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Anticoagulants - therapeutic use</topic><topic>Cardiac Catheterization</topic><topic>Coronary Thrombosis - complications</topic><topic>Coronary Thrombosis - surgery</topic><topic>Coronary Vessels - physiopathology</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart Aneurysm - diagnosis</topic><topic>Heart Aneurysm - etiology</topic><topic>Heart Aneurysm - surgery</topic><topic>Heart Failure - drug therapy</topic><topic>Heart Failure - etiology</topic><topic>Heart Failure - physiopathology</topic><topic>Heart Ventricles</topic><topic>Humans</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Middle Aged</topic><topic>Stroke - drug therapy</topic><topic>Stroke - etiology</topic><topic>Stroke Rehabilitation</topic><topic>Ventricular Dysfunction, Left - etiology</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Samuels, Louis E</creatorcontrib><creatorcontrib>Spangler, William D</creatorcontrib><creatorcontrib>Goel, Inder</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Heart surgery forum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Samuels, Louis E</au><au>Spangler, William D</au><au>Goel, Inder</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical resection of a lupus-related left ventricular aneurysm in a patient with normal coronary arteries: case report</atitle><jtitle>The Heart surgery forum</jtitle><addtitle>Heart Surg Forum</addtitle><date>2005</date><risdate>2005</risdate><volume>8</volume><issue>2</issue><spage>E75</spage><epage>E76</epage><pages>E75-E76</pages><issn>1098-3511</issn><eissn>1522-6662</eissn><abstract>A 52-year-old woman with systemic lupus erythematosus (SLE) presented with shortness of breath. Echocardiography and cardiac catheterization demonstrated a discrete left ventricular aneurysm (LVA) with normal coronary arteries. Although her heart failure symptomatically improved with medical therapy, she suffered an embolic stroke from a thrombus within the LVA. She was treated with anticoagulation and rehabilitation for 6 weeks. Reevaluation with echocardiography demonstrated persistent depressed LV function and mural thrombus within the LVA. Surgical resection of the LVA was performed with evacuation of the thrombus and local repair of the LV.</abstract><cop>United States</cop><pmid>15769724</pmid><doi>10.1532/HSF98.20041151</doi></addata></record> |
| fulltext | fulltext |
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| ispartof | The Heart surgery forum, 2005, Vol.8 (2), p.E75-E76 |
| issn | 1098-3511 1522-6662 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Anticoagulants - therapeutic use Cardiac Catheterization Coronary Thrombosis - complications Coronary Thrombosis - surgery Coronary Vessels - physiopathology Echocardiography Female Heart Aneurysm - diagnosis Heart Aneurysm - etiology Heart Aneurysm - surgery Heart Failure - drug therapy Heart Failure - etiology Heart Failure - physiopathology Heart Ventricles Humans Lupus Erythematosus, Systemic - complications Middle Aged Stroke - drug therapy Stroke - etiology Stroke Rehabilitation Ventricular Dysfunction, Left - etiology Ventricular Dysfunction, Left - physiopathology |
| title | Surgical resection of a lupus-related left ventricular aneurysm in a patient with normal coronary arteries: case report |
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