Left Ventricular Aneurysm: a Forgotten Pathology<\/strong><\/h2>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Abstract<\/h3>\n
Left ventricular aneurysm is one of the mechanical complications of acute myocardial infarction; nowadays it is relatively uncommon due to reperfusion therapies improvements observed in recent decades. Ventricular tachycardia is one of the most concerning complications of this condition. Multiple medical antiarrhythmic and surgical treatments have been described; one of them that appear to be highly effective is the surgical technique proposed by Dor. We present the case of a 65-year-old male patient with a history of ischemic necrotic heart disease and a cardioverter-defibrillator implant as second-line prevention. The patient consulted for multiple appropriate shocks and was diagnosed with left ventricular aneurysm associated with subocclusion of the anterior descending coronary artery. Subsequently, the surgical technique proposed by Dor was performed. A review of the topic was carried out considering different therapeutic approaches.<\/p>\n
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Keywords<\/h3>\n
Acute myocardial infarction, ventricular aneurysm, arrhythmic storm, cardiodefibrillator, cardiovascular surgery.<\/p>\n
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Introducci\u00f3n<\/h3>\n
El aneurisma de ventr\u00edculo izquierdo se caracteriza por una expansi\u00f3n parad\u00f3jica discin\u00e9tica de la pared ventricular durante la s\u00edstole. Entre sus diagn\u00f3sticos diferenciales, el pseudoaneurisma se forma cuando la pared libre del ventr\u00edculo se rompe, pero queda contenida por el pericardio adyacente o el tejido cicatricial.1<\/sup>
Desde el advenimiento de la angioplastia primaria como tratamiento del infarto agudo de miocardio (IAM), se observ\u00f3 una disminuci\u00f3n de su incidencia. La reperfusi\u00f3n tard\u00eda, la ausencia de circulaci\u00f3n colateral, as\u00ed como la oclusi\u00f3n completa de la arteria coronaria afectada constituyen factores predisponentes al desarrollo de un aneurisma ventricular. Durante este proceso, el aumento del volumen ventricular aumenta la tensi\u00f3n parietal y el consumo mioc\u00e1rdico de ox\u00edgeno, lo que reducir\u00eda el gasto card\u00edaco ocasionando insuficiencia card\u00edaca, angina, arritmias ventriculares o embolias sist\u00e9micas. El diagn\u00f3stico precoz de esta complicaci\u00f3n mec\u00e1nica es fundamental en el IAM extenso debido a su asociaci\u00f3n con dichas patolog\u00edas.2<\/sup><\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Objetivos<\/h3>\n
Presentar y analizar un caso cl\u00ednico de aneurisma ventricular izquierdo asociado a tormenta arr\u00edtmica, proponiendo un abordaje terap\u00e9utico basado en la revisi\u00f3n de opciones de tratamiento y su posible efectividad para mejorar el pron\u00f3stico del paciente.<\/p>\n
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Presentaci\u00f3n del caso<\/h3>\n
Paciente masculino de 65 a\u00f1os de edad, con antecedente de hipertensi\u00f3n arterial, dislipemia y ex-tabaquismo, portador de cardiopat\u00eda isqu\u00e9mico-necr\u00f3tica con deterioro severo de la funci\u00f3n sist\u00f3lica ventricular izquierda (FEVI) 30 %, (IAM anterior extenso en 2006, tratado con angioplastia primaria e implante de stent<\/em> liberador de drogas a arteria descendente anterior (DA); y angioplastia coronaria programada con implante de dos stents<\/em> a tercio medio de arteria coronaria derecha). En su evoluci\u00f3n cl\u00ednica, presenta en 2016 episodios de taquicardia ventricular monomorfa sostenida (TVMS) con signos de descompensaci\u00f3n hemodin\u00e1mica por lo cual se le realiz\u00f3 cardioversi\u00f3n el\u00e9ctrica. Se le realiza nueva angioplastia de arteria coronaria por reestenosis intra-stent <\/em>con ulterior cardiodesfibrilador implantable (CDI) como prevenci\u00f3n secundaria de muerte s\u00fabita.
Evoluciona con disnea en clase funcional 1 (NYHA), con alta intensidad de actividad f\u00edsica diaria (deportista de alto rendimiento, realiza 36-40 km diarios).
En junio del corriente a\u00f1o presenta tormenta el\u00e9ctrica, constat\u00e1ndose (mediante la interrogaci\u00f3n del dispositivo) numerosos episodios de taquicardia ventricular monomorfa sostenida, que requirieron su internaci\u00f3n y tratamiento con amiodarona endovenosa (Figura 1).
Durante su internaci\u00f3n, se reeval\u00faa con ecocardiograma doppler color que evidenci\u00f3 una FEVI del 30 %, con la presencia de un aneurisma apical con disquinesia en todos sus segmentos e hipoquinesia infero-basal e infero-medial con un volumen tele diast\u00f3lico estimado por m\u00e9todo de Simpson 118 ml (Figura 2). Se le realiza cinecoronariograf\u00eda la que inform\u00f3 una reestenosis intra-stent <\/em>difusa en arteria DA estimada en un 50 %. Por otro lado, se solicita una resonancia magn\u00e9tica nuclear cardiaca, la cual evidenci\u00f3 la presencia de un aneurisma apical con discinesia y adelgazamiento de todos los segmentos apicales y acinesia del segmento antero septal medial. Realce tard\u00edo de gadolinio transmural extenso en todos los segmentos apicales y segmento antero septal medial, con ausencia de viabilidad (Figura 3). Intercurre con accidente cerebrovascular isqu\u00e9mico sintom\u00e1tico por hemiparesia braquial izquierda y disartria de probable etiolog\u00eda cardioemb\u00f3lica, sin secuelas.
Evolucion\u00f3 con nuevos episodios de descargas apropiadas del CDI (23 episodios) a pesar de la optimizaci\u00f3n del tratamiento antiarr\u00edtmico farmacol\u00f3gico. Se realiz\u00f3 una reuni\u00f3n con la intervenci\u00f3n de distintas especialidades cl\u00ednicas y quir\u00fargicas, decidiendo la resoluci\u00f3n quir\u00fargica del aneurisma.
Durante el acto quir\u00fargico, se realiz\u00f3 aneurismectom\u00eda con cierre de aneurisma con parche bovino, ablaci\u00f3n quir\u00fargica por radiofrecuencia de zona de transici\u00f3n y confecci\u00f3n de puente mamario izquierdo a descendente anterior (cirug\u00eda de Dor) (Figuras 4 y 5).
Al control ecocardiogr\u00e1fico post-quir\u00fargico se constata una mejor\u00eda de FEVI estimada en 60 % con un volumen telediast\u00f3lico de 76 ml. El paciente evolucion\u00f3 favorablemente, sin presentar complicaciones postquir\u00fargicas de jerarqu\u00eda, siendo dado de alta a los 5 d\u00edas luego de la cirug\u00eda, con tratamiento m\u00e9dico optimizado y anticoagulaci\u00f3n oral. Al control del dispositivo realizado a los 30 d\u00edas de la cirug\u00eda, no se evidenciaron episodios de taquiarritmia ventricular.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Discusi\u00f3n<\/h3>\n
Esta presentaci\u00f3n resalta los desaf\u00edos en el manejo de arritmias complejas relacionada con el aneurisma conformando este una macro reentrada por conducci\u00f3n sobre tejido fibroso cerca del \u00e1rea de transici\u00f3n entre el miocardio sano y la pared aneurism\u00e1tica.3<\/sup>\u00a0La evidencia en este tipo de pacientes, como se describe en el estudio Vanish, muestra que aquellos con miocardiopat\u00eda isqu\u00e9mica portadores de CDI y taquicardia ventricular recurrente, al ser sometidos a ablaci\u00f3n, experimentaron una reducci\u00f3n significativa en eventos primarios, incluidos muerte, tormentas arr\u00edtmicas y descargas apropiadas del dispositivo, en comparaci\u00f3n con el tratamiento farmacol\u00f3gico.4<\/sup>
Tomando en consideraci\u00f3n nuestro paciente se opt\u00f3 por un abordaje quir\u00fargico invasivo acompa\u00f1ado de ablaci\u00f3n quir\u00fargica por radiofrecuencia del borde del saco aneurism\u00e1tico, en lugar de realizar un procedimiento de ablaci\u00f3n trans-cat\u00e9ter endocavitario, debido fundamentalmente al tama\u00f1o del aneurisma, en esta clase de pacientes se podr\u00edan obtener beneficios con la aneurismectom\u00eda quir\u00fargica, donde la ablaci\u00f3n con cat\u00e9ter no fue factible o no logr\u00f3 eliminar el circuito de la taquicardia.5<\/sup>
Considerando ciertos criterios espec\u00edficos, como la dilataci\u00f3n del ventr\u00edculo izquierdo, fracci\u00f3n de eyecci\u00f3n reducida y s\u00edntomas de angina, insuficiencia card\u00edaca y\/o arritmias ventriculares, la t\u00e9cnica quir\u00fargica de elecci\u00f3n suele ser la desarrollada por Dor, que se centra en la revascularizaci\u00f3n coronaria reducci\u00f3n del volumen ventricular en aproximadamente 60 ml\/m\u00b2, y aplicaci\u00f3n de crioterapia en el borde del aneurisma. Adem\u00e1s, busca restaurar la forma ventricular mediante un parche endoventricular aut\u00f3logo o sint\u00e9tico, que redefine la posici\u00f3n del nuevo \u00e1pice.6<\/sup><\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Conclusiones<\/h3>\n
El aneurisma ventricular izquierdo ha disminuido su incidencia con el advenimiento de las t\u00e9cnicas de reperfusi\u00f3n. Se han reportado tasas de mortalidad a 5 a\u00f1os muy variables, que oscilan del 30 % hasta un 80 %. El pron\u00f3stico depende fundamentalmente del tama\u00f1o del aneurisma as\u00ed como de la presencia de s\u00edntomas y de arritmias ventriculares complejas.1<\/sup>
La estrategia terap\u00e9utica debe individualizarse, resaltando la importancia de un enfoque multidisciplinario y reservando la cirug\u00eda para centros experimentados.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Conflicto de intereses<\/h3>\n
Los autores declaran no tener conflicto de intereses.<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbTablas\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 1: Registro electrocardiogr\u00e1fico cardiodesfibrilador implantable<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Aneurisma1.jpg\u00bb title_text=\u00bbAneurisma\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]Se visualiza terapia antiarr\u00edtmica con posterior descarga apropiada con reversi\u00f3n a ritmo sinusal.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 2: Ecocardiograma transtor\u00e1cico<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Aneurisma2.jpg\u00bb title_text=\u00bbAneurisma\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Vista apical de cuatro c\u00e1maras donde se visualiza aneurisma apical<\/p>\n
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Figura 3: Resonancia magn\u00e9tica cardiaca<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Aneurisma3.jpg\u00bb title_text=\u00bbAneurisma\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Aneurisma apical con discinesia y adelgazamiento de todos los segmentos apicales y acinesia del segmento antero septal medial.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 4: Sutura con parche ventricular bovino<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Aneurisma4.jpg\u00bb title_text=\u00bbAneurisma\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 5: Bypass<\/em> arterial mamaria descendente anterior<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Aneurisma5.jpg\u00bb title_text=\u00bbAneurisma\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.27.5″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb12px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb hover_enabled=\u00bb0″ text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0″] 1. Bisoyi S, Dash AK, Nayak D, et al. Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma. Ann Card Anaesth. 2016;19:169-172.
\n 2.Mart\u00edn Trenor A. Cirug\u00eda del aneurisma ventricular izquierdo. Cirugia cardiovascular . 2011;18:293-301. Disponible en: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1134009611700481#bi0005
\n 3. Jentzer JC, Noseworthy PA, Kashou AH, et al. Multidisciplinary critical care management of electrical storm: JACC state-of-the-art review. J Am Coll Cardiol. 2023;81:2189-2206. Disponible en: https:\/\/pubmed.ncbi.nlm.nih.gov\/37257955\/
\n 4. Sapp JL, Wells GA, Parkash R, et al. Ventricular tachycardia ablation versus escalation of antiarrhythmic drugs. N Engl J Med. 2016;375:111-121.
\n 5. Wellens F, Geelen P, Demirsoy E, et al. Surgical treatment of tachyarrhythmias due to postinfarction left ventricular aneurysm with endoaneurysmorrhaphy and cryoablation. Eur J Cardiothorac Surg. 2002;22:771-776. Disponible en: https:\/\/pubmed.ncbi.nlm.nih.gov\/12414044\/
\n6. Menicanti L, Di Donato M. The Dor procedure: what has changed after fifteen years of clinical practice? J Thorac Cardiovasc Surg. 2002;124:886-890. Disponible en: https:\/\/pubmed.ncbi.nlm.nih.gov\/12407369\/[\/et_pb_text][et_pb_text _builder_version=\u00bb4.24.2″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
El aneurisma de ventr\u00edculo izquierdo forma parte de una de las complicaciones mec\u00e1nicas de infarto agudo de miocardio infrecuentes en la actualidad debido al avance en las \u00faltimas d\u00e9cadas de terapias de reperfusi\u00f3n. Una de las m\u00e1s temidas complicaciones de esta patolog\u00eda es la taquicardia ventricular. Se han descrito m\u00faltiples tratamientos m\u00e9dicos antiarr\u00edtmicos y quir\u00fargicos…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[47,49],"tags":[48],"class_list":["post-2131","post","type-post","status-publish","format-standard","hentry","category-47","category-a33-presentacion-de-casos-clinicos","tag-anuario-33-2025"],"_links":{"self":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/comments?post=2131"}],"version-history":[{"count":8,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2131\/revisions"}],"predecessor-version":[{"id":2190,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2131\/revisions\/2190"}],"wp:attachment":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/media?parent=2131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/categories?post=2131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/tags?post=2131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}