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Cardiology
Left Ventricle Calcification
GABRIEL PÉREZ BAZTARRICA1 , SÁNCHEZ2 , FABIO RAFAEL PORCILE MTSAC, 3
Cardiac calcifications typically occur in the valves, the sinus and atrioventricular node, the coronary arteries and more rarely in the ventricular myocardium as sequelae of a previous heart attack. These latter are associated with complications, which include heart failure, systemic embolisms and arrhythmia.
This is an exceptional case of severe myocardial calcification associated with heart failure refractory to medical treatment.
This is a 58 year old patient with a history of a previous myocardial infarction that progresses to ischemic dilated cardiomyopathy (10% left ventricular ejection fraction) with several hospitalizations for heart failure. He is admitted to our hospital for another case of overall heart failure refractory to medical treatment (inotropes and IABP). Both in the anteroposterior chest X-ray, the CT chest scan and the coronary angiography (right oblique view), calcification of the ventricular wall thickness at the lateral and anterior levels, and at the apex of the heart (solid arrows) can be observed.
The patient was referred to another center to be evaluated for heart transplantation.
Department of Cardiology – Hospital de la Universidad Abierta Interamericana
MTSAC Full Member of the Argentine Society of Cardiology
1 Director of the Cardiology Residency Program
2 Resident Physician at the Department of Cardiology
3 Chief of the Department of Cardiology