LEFT-VENTRICULAR ANEURYSM IN HUMAN-IMMUNO DEFICIENCY-VIRUS INFECTION - A CASE-REPORT

The authors report the case of a 30 year old man with a left ventricul ar aneurysm who was seropositive to HIV 1 and HIV 2. The patient was s tage IVC 1 (AIDS related complex) by the ''Center for Disease Control' ' classification. The clinical presentation was pyrexia, loss of weigh t, micropolyadenopathy and cardiac failure. The electrocardiogramme sh owed low Voltage in the peripheral leads with a QS morphology in S2, S 3 and aVF and abrasion, of the R wave in the precordial leads. Doppler echocardiography demonstrated a large left ventricular aneurysm with a wide neck. Despite treatment with a diuretic, angiotensin converting enzyme inhibitor and anticoagulants, the patient died suddenly. Autop sy confirmed the wide necked left ventricular aneurysm. This would app ear to be the first report of this form of cardiac disease during HN i nfection. However, a simple coincidence of the two pathologies cannot be excluded.