We present a case of a patient with scleroderma with a rare form of cardiac involvement. Transthoracic echocardiography showed a left ventricular (LV) aneurysm in the base of the posterior free-wall. Cardiac catheterization revealed normal coronary arteries with a prominent aneurysm seen on left ventriculogram. Although ventricular dilatation is commonly found in scleroderma, a more serious cardiac complication such as LV aneurysm may also develope. (J Echocardiogr 2006; 4: 123-125) Key words: LV aneurysm, scleroderma symptoms of heart failure while continuing steroid therapy for the scleroderma.

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