ArticleJACC. Case reports2026
Long-Term Survival With Left Ventricular Aneurysm: The Cardiac Ball That Didn't Burst.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeft ventricular aneurysm (LVA) is a mechanical complication of transmural myocardial infarction associated with heart failure, arrhythmias, and thromboembolism. Its incidental detection on routine imaging remains uncommon and clinically challenging. CASE SUMMARY: A 58-year-old man with ischemic cardiomyopathy and heart failure with reduced ejection fraction presented with upper respiratory symptoms. Chest x-ray revealed a round radiopacity adjacent to the cardiac silhouette. Multimodality imaging, including transthoracic echocardiography and cardiac magnetic resonance, confirmed a giant inferolateral LVA (12.0 × 8.6 × 7.2 cm). Surgical intervention was recommended but declined; the patient has remained stable under optimized medical therapy and anticoagulation for 2 years. DISCUSSION: Giant LVAs may remain clinically silent for years. This case illustrates that optimized medical therapy with long-term anticoagulation and close multidisciplinary follow-up may be considered as a fallback strategy when surgery is declined or precluded by prohibitive operative risk. TAKE-HOME MESSAGES: A round opacity on chest x-ray may reveal a giant LVA. Multimodality imaging and individualized, multidisciplinary management are essential; when surgery is declined or not feasible, optimized medical therapy remains a valid strategy under close follow-up.
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