Unusual presentation of a left ventricular aneurysm.
We report on a case of left ventricular aneurysm in a 42-year-old woman presenting with atypical chest pains. The resting electrocardiogram showed abnormal Q and T negative waves in leads II, III, and aVF. Transthoracic echocardiography revealed an aneurysm on the posterior wall of the left ventricle. Thallium myocardial tomoscintigraphy confirmed the presence of a persistent defect with uneven uptake in the posterior wall, and coronary arteriography showed perfectly normal coronary arteries. A left ventricular aneurysm associated with normal coronary arteries and transient ischemia was diagnosed following a comparison with one of the patient's old electrocardiograms.
Ciaroni
S
S
Rue de l'Université, 1, CH-1205 Genève, Switzerland.
Rudhart
A M
AM
Fournet
P C
PC
D000208:Acute Disease; D000328:Adult; D002637:Chest Pain / Q000175:diagnosis*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods*; D015150:Echocardiography, Doppler / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis*; D006352:Heart Ventricles; D006801:Humans; D011877:Radionuclide Imaging / Q000379:methods; D012680:Sensitivity and Specificity; D013793:Thallium
D013793:Thallium