title: Giant and thrombosed left ventricular aneurysm.
abstract: Left ventricular aneurysms are a frequent complication of acute extensive myocardial infarction and are most commonly located at the ventricular apex. A timely diagnosis is vital due to the serious complications that can occur, including heart failure, thromboembolism, or tachyarrhythmias. We report the case of a 78-year-old male with history of previous anterior myocardial infarction and currently under evaluation by chronic heart failure. Transthoracic echocardiogram revealed a huge thrombosed and calcified anteroapical left ventricular aneurysm. Coronary angiography demonstrated that the left anterior descending artery was chronically occluded, and revealed a big and spherical mass with calcified borders in the left hemithorax. Left ventriculogram confirmed that this spherical mass was a giant calcified left ventricular aneurysm, causing very severe left ventricular systolic dysfunction. The patient underwent cardioverter-defibrillator implantation for primary prevention.
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Jose Alberto
authors.initials: JA
authors.lastname: de Agustin
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Jose Juan Gomez
authors.initials: JJ
authors.lastname: de Diego
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Marcos-Alberca
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Rodrigo
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Almeria
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Mahia
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Luaces
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Garcia-Fernandez
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Macaya
authors.affiliation: Jose Alberto de Agustin, Jose Juan Gomez de Diego, Pedro Marcos-Alberca, Jose Luis Rodrigo, Carlos Almeria, Patricia Mahia, Maria Luaces, Miguel Angel Garcia-Fernandez, Carlos Macaya, Leopoldo Perez de Isla, Instituto Cardiovascular, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
authors.forename: Leopoldo Perez
authors.initials: LP
authors.lastname: de Isla
keywords: Coronary angiography; Coronary artery disease; Echocardiography; Left ventricular aneurysm; Myocardial infarction