A MASSIVE CALCIFIED LEFT-VENTRICULAR ANEURYSM WITH NORMAL CORONARY-ARTERIES AND WITHOUT MYOCARDIAL-INFARCTION - A CASE-REPORT

Most cardiac aneurysms develop after myocardial infarction. Calcificat ion in the aneurysmal wall is seen rarely. In this case report the aut hors present a thirty-nine-year-old man, who had been free from sympto ms until eight months before, when he began to experience palpitations due to monomorphic sustained ventricular tachycardia. A chest roentge nogram disclosed an oval calcification on the left ventricular apex. C oronary angiography and left ventriculography revealed normal epicardi al coronary arteries and a massive calcified and ossified left ventric ular apical aneurysm. He had no chest pain, nor were there electrocard iographic findings of myocardial infarction. Attacks of ventricular ta chycardia disappeared after aneurysmectomy was performed. To the autho r's knowledge there is no case report in the literature of a calcified left ventricular aneurysm with normal epicardial coronary arteries an d without clinical and electrocardiographic findings of infarction. Th ey discuss the possible etiology of this case.