Calcified left ventricular aneurysm with delayed thrombus formation

Dystrophic Calcification of the Aneurysmatic Left Ventricular Apex

“…The diagnosis of left ventricular aneurysm can clearly be established by echocardiography and left ventriculography. Myocardial calcification may occasionally be observed in the wall of left ventricular aneurysm, such as the presented case 9 . The accepted indications for left ventricular aneurysmectomy are congestive heart failure, systemic embolization, recurrent arrhythmias, and refractory angina pectoris.…”

“…Myocardial calcification may occasionally be observed in the wall of left ventricular aneurysm, such as the presented case. 9 The accepted indications for left ventricular aneurysmectomy are congestive heart failure, systemic embolization, recurrent arrhythmias, and refractory angina pectoris. The aim of surgery is to correct the hemodynamic condition and to ameliorate the symptoms.…”

“…Thrombus formation is a very common complication in patients who develop left ventricular aneurysm after MI and is associated with increased risk of systemic embolism. 9,14 Various prospective researches identified that early anticoagulation with heparin and warfarin resulted in delayed progression and ⁄ or resolution of left ventricular thrombus. 15,16 In the presented case, myocardical calcification of a patient who admit-ted with worsening heart failure symptoms after a previous anterior MI, which was seen in chest x-ray, was evaluated by echocardiography and MCT.…”

“…So, it would be wise to consider surgical treatment mainly for patients refractory to medical treatment. Thrombus formation is a very common complication in patients who develop left ventricular aneurysm after MI and is associated with increased risk of systemic embolism 9,14 . Various prospective researches identified that early anticoagulation with heparin and warfarin resulted in delayed progression and/or resolution of left ventricular thrombus 15,16 …”