Dilated cardiomyopathy with left ventricular aneurysm

Case contributed by Dr Igor Yarmola

Presentation

Shortness of breath

Patient Data

Age: 15 years
Gender: Male

There is inferior and inferolateral wall aneurysm of the left ventricle. Dilated left ventricle is also demonstrated.

There is hyperintense focus at the aneurysm wall on late contrast enhancement images indicative of myocardial fibrosis (yellow arrows).

This case is presented together with my colleagues Anikin A. and Barskiy V.

Case Discussion

This patient has decreased LV ejection fraction, caused by dilated cardiomyopathy, confirmed with echocardiography. Also, there is notable decrease of ventricular contractility on short axis CINE images, dilatation of left ventricle, left ventricular aneurysm and fibrosis of the aneurysmal wall.

  • LV EDV 204 ml

  • LV EDV/BSA 130 ml/m2 (N 56-104 ml/m2)

  • LV ESV 153 ml

  • LV ESV/BSA 97 ml/m2 (N 16-40 ml/m2)

  • LV EF 25%

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