Revista Argentina de Cardiología. Vol 78. No 4. January 1, 2010
Left Ventricular Calcification
Gabriel Perez Baztarrica, Fabio Sanchez, and Rafael Porcile
Cardiac calcifications usually occur in the valves, sinus and atrioventricular node, the coronary arteries and rarely in the ventricular myocardium as an aftermath of a previous infarct. These last ones are associated with complications which include heart failure, systematic embolism and arrhythmia.
This is an exceptional case of severe myocardial calcification associated with refractory heart failure to medical treatment.
This is a 58 year old patient with a history of myocardial infarction that evolves into a necrotic dilated cardiomyopathy (left ventricular ejection fraction of 10%) with multiples hospitalization for heart failure. Admitted in our center with another symptom of a refractory heart failure to treatment (Inotropes and IABP). Both the anteroposterior chest radiography and chest tomography as well a coronary angiography (right lateral oblique view) shows evidence of calcification thickness in the ventricular wall at the front, lateral and the apex of the heart (following arrows).
The patient was referred to another hospital for a heart transplant evaluation.
