A Large Congenital Ventricular Outpouching

A 64-year-old diabetic man with the complaint of an atypical chest pain of many years’ duration and a mildly positive myocardial perfusion scan was referred for coronary artery angiography. The patient’s electrocardiography showed a J-point elevation in the precordial leads. Transthoracic echocardiography (two-dimensional and three-dimensional) revealed localized thinning and an outpouching that extended from the mid inferoseptal and anteroseptal wall of the left ventricle (LV) to the mid inferior wall with a mild LV systolic dysfunction (Figure1, Figure 2, Video 1, & Video2).