On behalf of its members the SA Heart Board® expresses its heartfelt condolences on the tragic loss of our dear colleagues, Dr Curnick Siyabonga Mahlangu, Dr Kgopotso... Read More
Case 6: Left ventricular aneurysm
A 55-year-old man was referred to the cardiac transplant unit with incapacitating angina and end-stage heart failure due to ischaemic dilated cardiomyopathy. He had a transmural anteroseptal myocardial infarct five years before.
On physical examination a dyskinetic, displaced apex beat was noted and the chest x-ray (images below) showed cardiomegaly with a large, calcified apical aneurysm. Left ventricular angiography revealed a thrombus in the aneurysm.
The patient eventually underwent PTCA of the left circumflex as treatment for the angina and was not accepted for transplantation because of severe peripheral vascular disease.