[Left ventricular aneurysm. Correlations with coronary arteriography (author's transl)].

Ventricular aneurysm is the most severe segmental disorder of ventricular function. A group of 45 patients with ventricular aneurysms have been evaluated, correlating a total of 80 aneurysmatic segments with cineventriculographic findings. Seventy-one percent of the patients had multiple lesions. Except for three patients with normal coronary blood supply and apical aneurysm there was a positive correlation between the remaining aneurysmatic segments and significant lesions in the corresponding arteries. As in the three cases with normal coronary arteries, associated spasm was suspected in other eight cases showing significant vessel stenosis of less than 75 percent of the lumen. Detection of ventricular aneurysm in the cineventriculographic examination is highly suggestive of severe arterial damage.