Key result
A 78-year-old man with a giant, thrombosed, calcified LV aneurysm undergoes ICD implantation after anterior MI.
Case Report (n=1)
Highlights the multimodality imaging diagnosis of a giant, thrombosed, and calcified left ventricular aneurysm as a late complication of anterior myocardial infarction.
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.
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José Agustín (2015) conducted a case report in Giant and thrombosed left ventricular aneurysm (n=1). Cardioverter-defibrillator implantation was evaluated. A 78-year-old male with a history of anterior myocardial infarction presented with a giant, thrombosed, and calcified left ventricular aneurysm and underwent cardioverter-defibrillator implantation.
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