RT Journal Article T1 Giant and thrombosed left ventricular aneurysm. A1 De Agustín Loeches, José Alberto A1 Gomez de Diego, Jose Juan A1 Marcos-Alberca, Pedro A1 Rodrigo López, José Luis A1 Almeria, Carlos A1 Mahia, Patricia A1 Luaces Méndez, María A1 García Fernández, Miguel Ángel A1 Macaya Miguel, Carlos A1 Pérez De Isla, Leopoldo AB 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. PB Baishideng Publishing Group YR 2015 FD 2015-07-26 LK https://hdl.handle.net/20.500.14352/134138 UL https://hdl.handle.net/20.500.14352/134138 LA eng NO De Agustin JA. Giant and thrombosed left ventricular aneurysm. WJC 2015;7:431. https://doi.org/10.4330/wjc.v7.i7.431. DS Docta Complutense RD 8 abr 2026