Abstract
A left ventricular aneurysm (LVA) is one of the most serious complications following an acute myocardial infarction. The process leading to the formation of a ventricular aneurysm is based on the natural evolution of a transmural infarct that has been replaced by fibrous tissue. This neutral part cannot participate in contraction and herniates outwards during systole. In general, this process takes several days to develop and LVA can occur at least 48 to 72 hours after infarction. We report the case of a young patient who presented with an LVA within the first 24 hours of myocardial infarction, suggesting an early post-infarction remodeling phase. The prognosis for ventricular aneurysms is guarded. A heart team is essential for making a surgical decision.
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