Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2018; 6(6): 139-142
Published online Jun 16, 2018. doi: 10.12998/wjcc.v6.i6.139
Posterobasal left ventricular aneurysm after myocardial infarction with normal coronary arteries: Case-report
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye
Roman Evgenyevich Kalinin, Igor Aleksandrovich Suchkov, Nina Dzhansugovna Mzhavanadze, Adelphina Felician Ncheye, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Ryazan 390026, Russia
Author contributions: Kalinin RE and Suchkov IA designed the report; Mzhavanadze ND and Ncheye AF collected the patient’s clinical data; Suchkov IA, Mzhavanadze ND and Ncheye AF analyzed the data and wrote the paper.
Informed consent statement: The patient was not required to give informed consent to this case report because the analysis used completely anonymous data; the consent was obtained before performing any medical investigation or start of treatment as required.
Conflict-of-interest statement: No conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Igor Aleksandrovich Suchkov, MD, PhD, Professor, Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Vysokovoltnaya 9, Ryazan 390026, Russia. suchkov_med@mail.ru
Telephone: +7-9038-362417 Fax: +7-4912-460808
Received: January 22, 2018
Peer-review started: January 22, 2018
First decision: February 9, 2018
Revised: February 14, 2018
Accepted: April 1, 2018
Article in press: April 1, 2018
Published online: June 16, 2018
Processing time: 149 Days and 9.1 Hours
ARTICLE HIGHLIGHTS
Case characteristics

Angina-like chest pain, exertional dyspnea, and anxiety.

Clinical diagnosis

Posterobasal left ventricular aneurysm and moderate to severe mitral regurgitation in the absence of coronary atherosclerosis.

Differential diagnosis

Differential diagnosis with coronary artery disease due to atherosclerosis. Angiography revealed no stenotic or occlusive lesions.

Imaging diagnosis

Electrocardiography, echocardiography, angiography, and duplex ultrasonography were used in this case.

Treatment

The patient received aspirin 75 mg QD, rosuvastatin 10 mg QD, amlodipine 5 mg, lisinopril 10 mg QD, and was started on bisoprolol 2.5 mg BID, indapamide 1.5 mg QD, eplerenone 25 mg QD.

Term explanation

MINCA: Myocardial infarction with normal coronary arteries.

Experiences and lessons

Myocardial infarction with normal coronary arteries may lead to the development of mechanical complications such as a posterobasal left ventricular aneurysm with moderate to severe mitral regurgitation, which requires close monitoring and follow-up care.