Giant and thrombosed left ventricular aneurysm
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Introduction :
True left ventricular aneurysms are a frequent complication following acute extensive myocardial infarction. Early diagnosis is crucial due to the serious complications that can potentially occur, including heart failure, thromboembolism, or tachyarrhythmias.

Case Report :
A 78-year-old male with history of previous anterior myocardial infarction and currently under evaluation by chronic decompensated heart failure (NYHA functional class III), underwent transthoracic echocardiogram revealing the presence of a huge and peripherally calcified anteroapical left ventricular aneurysm with a giant mural thrombus. Elective coronary angiography was performed which demonstrated that the left anterior descending artery was chronically occluded and nonsignificant lesions in the other coronary arteries. Fluoroscopic imaging revealed a complete oval calcified image enclosed within an abnormal cardiac silhouette. Left ventriculogram confirmed that this image corresponded of a giant calcified and thrombosed left ventricular aneurysm, causing severe left ventricular systolic dysfunction The calculated left ventricular ejection fraction was only 7%. The patient underwent cardioverter-defibrillator implantation for primary prevention....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513496/
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