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Left ventricular aneurysm an unusual complication after muscular VSD device closure

Bashir A. Hawaelrasoul, Atif Al Sahari, Roberto Di Donato, Jassim M Abdulhamed

Cardiac ventricular aneurysms are rare in the pediatric population. Left ventricular (LV) aneurysms can be congenital or acquired. The acquired form may be caused by trauma (7%), transmural myocardial infarction (55%), infection (5%), connective tissue disease, and cardiac surgery (33%). Most commonly LV aneurysms are of idiopathic origin. Here we report a 2-years-old girl, with multiple muscular Ventricular Septal Defects (VSDs), large atrial septal defect, secondum type (ASDII) and Patent Ductus arteriosus (PDA). Cardiac catheterization at 10 months showed reactive pulmonary hypertension, she underwent pulmonary artery banding and PDA ligation at the age of 11 months, and then three of the muscular VSDs were closed by Amplatzer devices at the age of 17 months. At the age of 22 months another cardiac catheter to close remaining VSDs showed left ventricular (LV) apical aneurysm. The LV aneurysm was successfully resected surgically.