case_images: PMC6390254_01
case_images: Admission ECG without abnormalities.
case_images: CRIC2019-7828909.001.jpg
case_images: PMC6390254_01_CRIC2019-7828909.001.jpg
case_images: fig1
case_images: AQRS at -30 degrees, and tracing without significant abnormalities (Figure 1). A ventricular arrhythmia was suspected, but a 24 h Holter monitoring was discarded because of the apparent urgency of the situation.
case_images: Transthoracic echocardiogram, parasternal long axis view. Notice the large submitral aneurysm (diameter, 3 cm) in the posterolateral basal-medial region of the left ventricle (encircled area). LA: left atrium; LV: left ventricle.
case_images: CRIC2019-7828909.002.jpg
case_images: PMC6390254_01_CRIC2019-7828909.002.jpg
case_images: fig2
case_images: The echocardiogram revealed a left ventricular ejection fraction (LVEF) of 34% and a large submitral aneurysm in the posterolateral basal-medial region of the left ventricle, as well as severe anterior and inferior basal-medial hypokinesia, mild mitral valve insufficiency, and no pulmonary artery hypertension (Figures 2 and 3).
case_images: The echocardiogram reveals a large aneurysm (diameter, 3 cm; encircled area) in the lateral basal-medial region of the ventricle without apparent thrombus (arrow). LV: left ventricle.
case_images: CRIC2019-7828909.003.jpg
case_images: PMC6390254_01_CRIC2019-7828909.003.jpg
case_images: fig3
case_images: The echocardiogram revealed a left ventricular ejection fraction (LVEF) of 34% and a large submitral aneurysm in the posterolateral basal-medial region of the left ventricle, as well as severe anterior and inferior basal-medial hypokinesia, mild mitral valve insufficiency, and no pulmonary artery hypertension (Figures 2 and 3).
case_images: Posteroanterior thoracic radiography denotes cardiomegaly imparted mostly by the low left cardiac bulging.
case_images: CRIC2019-7828909.004.jpg
case_images: PMC6390254_01_CRIC2019-7828909.004.jpg
case_images: fig4
case_images: The posteroanterior chest radiograph (Figure 4) revealed grade II cardiomegaly with a rounded growth on a left profile, compatible with VA, without further abnormalities.