Calcification of the left ventricle
Revista Argentina de Cardiología. Vol 78. No 4. January 1, 2010
Gabriel Perez Baztarrica, Fabio Sanchez, Rafael Porcile
Cardiac calcifications usually occur in the valves, sinus and atrioventricular node, the coronary arteries and rarely in the ventricular myocardium as a result of a past heart attack (myocardial infarction). The latter are associated with complications including heart failure, systemic embolism and arrhythmias.
This is an exceptional case of severe myocardial calcification, associated with heart failure refractory to medical treatment.
This is a 58 years old patient, with a history of previous myocardial infarction that developed into a necrotic dilated cardiomyopathy (10% left ventricular ejection fraction) with several heart failure hospitalization. He is admitted to our medical center due to another global heart failure refractory to medical treatment (Inotropic sand IABP). Both in the anteroposterior chest x-ray and CT and coronary angiography (right oblique view) are evidence of the calcification of the ventricular wall thickness at the anterior and lateral level and at the cardiac apex (continuous arrows).
The patient was referred to another facility to be evaluated for a heart transplant.