An unusual case of large left ventricular aneurysm: Complementary role of echocardiography and multidetector computed tomography in surgical planning

We report a case of a 68-year-old man in whom myocardial infarction was complicated by a large and unusual left ventricular aneurysm. Peculiar anatomic features of a very large aneurysm of the posterior wall of the left ventricle were clearly suspected on transthoracic and transesophageal echocardiography and precisely defined through multidetector computed tomography. This technique not only confirmed echocardiographic findings, but also facilitated the differential diagnosis between left ventricular aneurysm and left ventricular pseudoaneurysm and the choice of the correct surgical planning.