LOCALIZED LEFT-VENTRICULAR ANEURYSMS WITH NORMAL GLOBAL FUNCTION CAUSED BY MYOCARDITIS

Left ventricular (LV) aneurysms usually result from coronary artery disease but may also occur in congenital,1 traumatic2,3 or infective heart diseases. LV aneurysms of infective origin are most often caused by Chagas's disease4 and infective endocarditis. Regional wall motion abnormalities have been occasionally observed during viral myocarditis.5 More recently Goudevenous et al6 reported a case of LV aneurysm during Coxsackie B4 virus infection but without histologic evidence of myocarditis. This study reports 2 cases of severe lymphocytic myocarditis presenting with ventricular tachycardia and LV aneurysm. © 1992.