A sixty-four-year-old man was admitted with a severe feeling of chest oppres sion and loss of consciousness. An echocardiogram and a left ventriculogram revealed a left ventricular aneurysm with severe mitral regurgitation, and a selective coronary angiogram demonstrated normal coronary arteries. Spasm- induced posterior myocardial infarction was diagnosed, and the patient under went combined left ventricular aneurysmectomy and mitral valve replacement. Six years after the surgery the patient remains well, without angina or heart failure.
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