Abstract
A 42 year old man who entered the hospital because of chest pain suggestive of a myocardial infarction died suddenly on the fourth hospital day. Postmortem examination revealed an old ventricular aneurysm with rupture through a secondary aneurysm. The left coronary artery revealed an old occlusive lesion and a more recent occlusion approximately 2 cm from the coronary orifice. Rupture of a chronic true left ventricular aneurysm, a rare event, was the direct cause of death.
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