A 55-year-old woman presented with shortness of breath and palpitations. She had a history of heart damage with an arrhythmia, which had been detected 16 years previously when she was living in South America. At that time, a diagnosis of Chagas’ disease was made on the basis of positive blood tests. An ECG showed right bundle-branch block with left anterior hemiblock. Catheterization revealed normal coronary arteries and multiple aneurysmatic dilatations of the left ventricle.
Right anterior oblique view of left ventricle. Multiple left ventricular aneurysms are noted in anterobasal, anterior, and inferior aspects of left ventricle (circled, right).
Footnotes
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The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
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Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC 4-265, Houston, TX 77030.
- Copyright © 1997 by American Heart Association
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- Chagas’ Disease and Ventricular Aneurysms
