Left Ventricle Calcification by Kreshnik Duka

Medical Translation

Left ventricle calcification

By Gabriel Perez Baztarrica, Fabio Sanchez and Rafael Porcile

 

Cardiac calcifications occur habitually in the valves, the sinus and atrioventricular node, coronary arteries and rarely in the ventricular myocardium as a consequence of a previous heart attack. The last few are associated with complications, among which are heart failure, systemic embolisms and arrhythmias.

This is an exceptional case of a serious myocardial calcification associated with heart failure refractory to medical treatment.

This is a 58 year old patient with a history of previous myocardial infarction progressing to dilated cardiomyopathy necrosis (a 10% ejection fraction of the left ventricle) with multiple hospitalizations for heart failure. He was admitted in our hospital for another comprehensive picture of overall heart failure refractory to medical treatment (inotropic and IABP). Both chest radiography and coronary angiography (right oblique view) show that a thick calcified ventricular wall is evident to the anterior and lateral level and the tip of the heart. (constant- arrows)

The patient was referred to another center for an evaluation for a heart transplant.

Medical Translation Text by Joseph Ortiz

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Calcification of the left ventricle

 By Gabriel Perez Baztarrica 1, Fabio Sanchez 2, Rafael Porcile 3

Cardiac calcification commonly presents in the valves, the sinoatrial nodes, atrioventricular areas, coronary arteries and in rare cases is found in the ventricular myocardium as a result of previous infarctions. The latter presentations are related with complications such as heart failure, systemic embolisms, and arrhythmias.

            This is a unique case of severe myocardial calcification associated with treatment resistant heart failure.

A 58 year old patient presented with a history of anterior myocardial infarction which progressed to necrotic dilated cardiomyopathy (left ventricular ejection fraction of 10%) and has been admitted on multiple occasions due to continued heart failure. Patient was admitted to the hospital as a result of another recurrence of treatment resistance (inotropic and IABP) heart failure.  X-ray scans of the anterior posterior chest, CT scans of the chest and a coronary angiogram (from a right oblique view) provided evidence of dense calcification in the anterior and lateral walls of the ventricle and on the cardiac apex (see arrows).

            The patient was transferred to another hospital for cardiac transplant evaluation.