Eur J Cardiothorac Surg 2008;33:925. doi:10.1016/j.ejcts.2008.01.068
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
Calcified aneurysm of the left ventricle mimicking hydatid disease of the lung
Nicholas Charokopos,
Polychronis Antonitsis*,
Efthymia Rouska,
Michael Toumbouras
First Department of Cardiothoracic Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece
Received 12 December 2007;
received in revised form 30 January 2008;
accepted 31 January 2008.
* Corresponding author. Tel.: +30 6947077060. (Email: antonits{at}otenet.gr).
Key Words: Calcification Aneurysm
A 75-year-old woman presented with congestive heart failure NYHA IV. Chest X-ray and CT revealed a calcified cystic lesion (7 cm x 5 cm) adjacent to the left ventricle (Fig. 1
). Catheterization showed a large anterolateral left ventricular aneurysm with occluded LAD. She underwent patch exclusion of aneurysm through endoventricular route (Fig. 2
).

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Fig. 1. (a) Chest roentgenogram demonstrating circular rim of calcification along the left border of heart (arrows), (b) CT scan demonstrating the calcified left ventricular aneurysm measuring 7 cm x 5 cm.
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Fig. 2. (a and b) Intraoperative view of the large calcified aneurysm. Remaining viable myocardium was adequate for survival.
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