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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.