Multimodality imaging of a left ventricular aneurysm in a patient with normal coronary arteries: Unusual localization

Left ventricular aneurysm (LVA) is rare but potentially fatal complication of myocardial infarction. It has been strictly defined as a distinct area of abnormal left ventricular diastolic contour with systolic dyskinesia or paradoxical bulging. It may be asymptomatic. However, complications including thromboembolism, heart failure, valvular regurgitation, arrhythmia, and rarely rupture may be the initial presentation. Diagnosis may be established by transthoracic echocardiography, left ventriculography, computed tomographic angiography, and cardiac magnetic resonance imaging. Here, we report a case of uncommonly located LVA in an adult patient with normal coronary arteries, which was diagnosed with multimodality imaging.