ENORME ANEVRYSME VENTRICULAIRE GAUCHE POST INFARCTUS DU MYOCARDE

A left ventricular aneurysm (LVA) is a localized dyskinetic area of infarcted myocardium that bulges in systole and diastole. It is a well-studied structural complication seen post myocardial infarction although decreasing in incidence due to major improvements in reperfusion therapy. Persistent ST elevation is the most widely reported electrocardiographic manifestation of left ventricular aneurysms. LVA may be evident on chest x-ray, as observed in this case. Diagnosis is noninvasively confirmed using echocardiography. Complications of LVA include congestive heart failure, ventricular arrhythmias and rupture that can lead to sudden cardiac death Surgical treatment is usually effective and followed by a marked improvement in function but is burdened with a heavy postoperative mortality. We report the case of a 68-year-old man, with a history of Myocardial infarction presenting with a huge left ventricular aneurysm.