%0 Journal Article
%A De Agustín Loeches, José Alberto
%A Gomez de Diego, Jose Juan
%A Marcos-Alberca, Pedro
%A Rodrigo López, José Luis
%A Almeria, Carlos
%A Mahia, Patricia
%A Luaces Méndez, María
%A García Fernández, Miguel Ángel
%A Macaya Miguel, Carlos
%A Pérez De Isla, Leopoldo
%T Giant and thrombosed left ventricular aneurysm.
%D 2015
%U https://hdl.handle.net/20.500.14352/134138
%X AbstractLeft ventricular aneurysms are a frequent complicationof acute extensive myocardial infarction and are mostcommonly located at the ventricular apex. A timelydiagnosis is vital due to the serious complications thatcan occur, including heart failure, thromboembolism,or tachyarrhythmias. We report the case of a 78-yearold male with history of previous anterior myocardialinfarction and currently under evaluation by chronic heartfailure. Transthoracic echocardiogram rev­ealed a hugethrombosed and calcified anteroapical left ventricularaneurysm. Coronary angiography demonstrated that theleft anterior descending artery was chronically occluded,and revealed a big and spherical mass with calcifiedborders in the left hemithorax. Left ventriculogramconfirmed that this spherical mass was a giant calcifiedleft ventricular aneurysm, causing very severe leftventricular systolic dysfunction. The patient underwentcardioverter-defibrillator implantation for primaryprevention.
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