Abstract
A healthy 53-year-old man presented to the emergency department for a sudden loss of consciousness and was initially stable. However, the patient experienced a run of ventricular fibrillation and required inotropic support. He underwent transesophageal echocardiography that detected a massive pericardial effusion and several saccular aneurysms located at the posterior wall of the left ventricle (Figure 1 and Video E1 [available at http://www.annemergmed.com]). Coronary angiography revealed multivessel coronary disease (Video E2) and left ventriculography confirmed the left ventricular aneurysms (Figure 2 and Video E3).
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