A 65 year old gentleman, poorly compliant with medications and history
of anterior wall myocardial infarction many years back presented with
features of acute heart failure. Chest skiagram revealed a peculiar
calcification (‘Rugby ball’) involving the cardiac apex and
anterolateral wall. Echocardiography revealed aneurysmal dilatation
involving the mid and apical left ventricle with severe left ventricular
dysfunction. No mural thrombus was detected.He was stabilized with
anti-heart failure medications and advised regular follow up.