CONGENITAL LEFT-VENTRICULAR ANEURYSM DIAGNOSED BY SPIRAL CT ANGIOGRAPHY

We report a rare case of congenital left ventricular aneurysm, diagnos ed by spiral CT angiography. Despite 1 s time acquisition, spiral CT, with adequate acquisition parameters and bolus injection of contrast m edium, produced sufficiently good images to permit visualization of th e aneurysm. Subsequently, reconstructions (shaded surface display and multiplanar reformation) were performed to demonstrate the relationshi p of the aneurysm with the remainder of the left ventricle, the wide n eck of the aneurysm, and the absence of contractility, therein permitt ing differentiation from a congenital diverticulum.