XXXX without coronary artery occlusion--a case study.

@entity1164 @entity1 @entity32 @entity296 @entity1353 @entity910 @entity1188 @entity439 @entity2224 @entity583 @entity715 @entity1002
BACKGROUND: @entity1002 is described as distinct area of the left ventricular wall with systolic @entity910 where typical @entity296 is replaced with fibrous tissue. Transmural @entity1188 following occlusion of left anterior descending coronary artery is the most common cause of formation of the @entity1002 . CASE REPORT: A 51-year old white male, with the history of inferolateral wall @entity583 6 years ago was admitted to the emergency department at the local hospital last year because of @entity1164 due to @entity2224 in the course of @entity583 . Later on the @entity1 did not come back to work, felt very weak and had @entity1353 on mild exertion. Coronary angiogram performed one year later (the @entity1 refused coronary angiography examination at the time of @entity583 ) showed normal coronary arteries with a recessive right coronary artery. The left coronary artery was wide with normal contrast flow. Ventriculography showed large, true @entity439 with @entity715 in the apical segment of the left ventricular wall. Left ventricular ejection fraction was 30%. @entity1 was qualified for the aneurysmectomy. A large @entity439 (8 cm) of the apical and anterolateral segment of the left ventricular wall was detected intraoperatively. A fresh @entity715 weighing 9 g was evacuated from the inside of the @entity439 . Stoney's aneurysmectomy was performed. Histopathology showed a typical picture of scar tissue without signs of active @entity32 . CONCLUSION: Normal coronary angiogram does not exclude development of large true @entity439 of left ventricular wall of typical localization for acute occlusion of left anterior descendent artery.
