Submitral annular left ventricular aneurysm--unusual echocardiographic and angiographic features

A submitral annular left ventricular aneurysm in a Nigerian patient is described. The features consisted of an abnormal bulge on the left heart border with curvilinear calcification, an echo-free space behind the posterior left ventricular wall, and unusual angiographic appearance of the left circumflex coronary artery. The diagnosis was confirmed by pulmonary artery and left ventricular angiography. The patient underwent open heart surgery and a multiloculated submitral annular left ventricular aneurysm which was adherent to the pericardium was successfully resected.