PMC7813658_01
ECG showing a wide complex tachycardia at 200bpm with a superior left axis
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F1
Ventricular tachycardia was the most probable diagnosis using the Brugada and Vereckei algorithms (Figure 1).
ECG after electrical cardioversion showing a first degree AV block with Q waves in DIII, inverted T waves in leads AVF and D3
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F2
T waves in leads DIII and arteriovenous fistula (AVF) and a first degree AV block (Figure 2).
echocardiography in the apical 4 cavities view showing a giant calcified aneurysm of the basal inferoseptal wall
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F3
Echocardiography showed non dilated left chambers, a preserved LV ejection fraction (visually estimated at 50-55%), a giant calcified basal inferior left ventricular aneurysm with a thrombus at its bottom and a non-severe mitral regurgitation (Figure 3, Figure 4).
echocardiography in the apical 3 cavities view showing a giant calcified aneurysm extending to the basal inferoseptal wall
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F4
Echocardiography showed non dilated left chambers, a preserved LV ejection fraction (visually estimated at 50-55%), a giant calcified basal inferior left ventricular aneurysm with a thrombus at its bottom and a non-severe mitral regurgitation (Figure 3, Figure 4).
chest X-rays showing no cardiomegaly, and a second probe, cut and rolled up in the right ventricle
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F5
Chest X-rays showed no cardiomegaly, calcification at the bottom of the aneurysm and a second pacemaker lead, cut and rolled up in the right ventricle (Figure 5).
coronary angiography in the right oblique view. White arrows outline the calcified aneurysm
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F6
The calcifications of the aneurysm were also visible (Figure 6).
cardiac CT scan showing a heavily calcified aneurysm
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F7
Cardiac computerized tomography (CT) scan showed a large heavily calcified aneurysm measuring 45x38mm (Figure 7).