Abstract
This case study follows a 71-year-old male who underwent coronary angiography for progressive exertional dyspnoea and negative stress test on background of STEMI with PCI to the LAD 25 years prior. Angiography demonstrated a calcified apical left ventricular aneurysm and an occluded LAD, with associated mural thrombus being demonstrated on TTE subsequently. The patient underwent coronary artery bypass grafting with aneurysectomy and reconstruction, and recovering uneventfully.
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