Calcified Post Myocardial Infarction Left Ventricular Aneurysm in a Young Woman

Abstract

Case History:
S.A. 35 years old Pakistani (born in India, immigrated to Pakistan in 1949 at the age of 3 years) woman was admitted to National Institute of Cardiovascu1ar Diseases, Karachi, in Fel3ruary 1981 with severe retrosternal chest pain accompanied by profuse diaphoresis and vomiting.

Her mentrual cycle is regular 4-5/30 with moderate flow. Patient underwent left ventric ular aneurysmectomy and L.A.D. Bypass with uneventful recovery.

Discussion:
It is well known that transmural myocardial infarction is quite uncommon in menstruating females2’ 3. The Framingham study4 found clinically significant coronary artery disease in

only 1:1000 woman aged 30-39 years while myocardial infarction was found in only 0.19 per 1000 woman. In Sweden Bengtsson5 in 1973 found annual incidence of Myocardial Infarction in Women age 35-38 years living in Goteberg Sweden to be 0.03 per 1000. A more recent study