Successful Repair of Left Ventricular Aneurysm Associated with Mitral Regurgitation Secondary to Spasm-Induced

A sixty-four-year-old man was admitted with a severe feeling of chest oppres-sion and loss of consciousness. An echocardiogram and a left ventriculogram revealed a left ventricular aneurysm with severe mitral regurgitation, and a selective coronary angiogram demonstrated normal coronary arteries. Spasm-induced posterior myocardial infarction was diagnosed, and the patient under-went combined left ventricular aneurysmectomy and mitral valve replacement. Six years after the surgery the patient remains well, without angina or heart failure