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Left ventricular compliance is increased, allowing large ventricular volumes to be accommodated with minimal increase in end-diastolic pressure (see Fig. 1-7 ). As the left ventricular diameter increases, wall tension and hence afterload are increased. There is compensatory systemic vasodilation.Complications. A left ventricular aneurysm can be associated with a variety of complications such as malignant arrhythmias, heart failure, cardiac ischemia, thromboembolism, and rupture of the ventricle. Almost one-third of the patients with ventricular aneurysms develop arrhythmias.
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