We report the case of a ventricular septal aneurysm in a patient with a pre
vious inferior myocardial infarction. Two-dimensional echocardiography demo
nstrated a cystic cavity in the muscular septum with a small communication
into the left ventricle. No evidence of left-to-right shunt was detected wi
th Doppler echocardiography or during left ventriculography.