Left ventricular aneurysm
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An 80-year-old man who reported having a myocardial infarction in 1975, at 44 years of age, presented with a 5-day history of shortness of breath at rest. He received a diagnosis of acute-on-chronic exacerbation of systolic heart failure, and his left ventricular ejection fraction was estimated to be less than 10% on echocardiographic examination. Chest radiography revealed a rim-calcified cardiac mass (Panels A and B) and a circumferential calcified aneurysm extending from the middle to the apex of the left ventricle was seen on gated computed tomographic angiography (Panel C). Coronary angiographic studies obtained 4 months before presentation showed chronic occlusion of the left anterior descending artery, multiple severe stenoses of the dominant left circumflex artery, and a small, nondominant right coronary artery. In the past, myocardial infarction was complicated by left ventricular aneurysm more often than is seen currently...

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