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A 47-year-old woman presented with recurrent ventricular tachycardia (VT). Her past medical and family histories were unremarkable. Her physical examination was normal. ECG revealed normal sinus rhythm with monomorphic premature ventricular beats (PVB) issued from left ventricle (LV). A 24-h Holter monitor revealed >20 000 PVB with non-sustained VT. Chest X-ray demonstrated a mild bulge in the left lower border. Transthoracic echocardiography revealed an apical akinetic aneurysm of the LV. Cardiac magnetic resonance imaging (CMR) was performed to further characterize this aneurysm. It demonstrated a huge 38 × 50 mm latero-apical accessory chamber of the LV which remained …

Cardiac magnetic resonance demonstrating an isolated apical diverticulum of the left ventricle revealed by ventricular tachycardia