Case Report: A case of giant left ventricular aneurysm resulting in LAD compression and stenosis
Journal: Frontiers in Cardiovascular Medicine
Year: 2026

We present the case of a 67-year-old male smoker who developed progressive heart failure despite successful primary PCI for an acute extensive anterior ST-elevation myocardial infarction. Initial echocardiography revealed an apical left ventricular aneurysm (LVA). Readmission 40 days later showed dramatic ventricular dilation, severely reduced LVEF (19%), and a large inferoapical aneurysm. Multimodality imaging was pivotal: repeat angiography demonstrated a new dynamic mid-LAD stenosis; IVUS con