Open AccessGiant and thrombosed left ventricular aneurysm
Author(s) -
José Alberto de Agustin,
José Juan Gómez de Diego,
Pedro MarcosAlberca,
José Luis Rodrigo,
Carlos Almerı́a,
Patricia Mahía,
María Luaces,
Miguel Ángel Garcı́a-Fernández,
Carlos Macaya,
Leopoldo Pérez de Isla
Publication year - 2015
Publication title -
world journal of cardiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8462
DOI - 10.4330/wjc.v7.i7.431
Subject(s) - medicine , cardiology , myocardial infarction , left ventricular aneurysm , aneurysm , heart failure , ventricular aneurysm , electrocardiography in myocardial infarction , radiology
Left ventricular aneurysms are a frequent complication of acute extensive myocardial infarction and are most commonly located at the ventricular apex. A timely diagnosis is vital due to the serious complications that can occur, including heart failure, thromboembolism, or tachyarrhythmias. We report the case of a 78-year-old male with history of previous anterior myocardial infarction and currently under evaluation by chronic heart failure. Transthoracic echocardiogram revealed a huge thrombosed and calcified anteroapical left ventricular aneurysm. Coronary angiography demonstrated that the left anterior descending artery was chronically occluded, and revealed a big and spherical mass with calcified borders in the left hemithorax. Left ventriculogram confirmed that this spherical mass was a giant calcified left ventricular aneurysm, causing very severe left ventricular systolic dysfunction. The patient underwent cardioverter-defibrillator implantation for primary prevention.