HEART – Left ventricular aneurysm

The heart has been opened to display a 6cm aneurysm arising in the lateral wall of the left ventricle. The heart is markedly enlarged (autopsy weight 1100g.). There is clot adherent to the wall of the aneurysm. (The discolouration of the facing left ventricular wall is probably artefact). At autopsy, the descending branch of the left coronary artery was completely occluded at a point 4cm from its origin and there were multiple pulmonary emboli.