The 2019 cohort marks the sixth year of the World Heart Federation (WHF) Emerging Leaders programme and will focus on heart failure. Applications are now open until 24 ... 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.