Giant left ventricular aneurysm mimicking myocardial bridge.

An 81-year-old woman was admitted due to acute pulmonary edema. The electrocardiogram showed new Q-waves in anterior leads with ST-elevation in anterolateral leads. Coronary angiogram showed a 100% occluded second diagonal branch with an image of systolic and diastolic compression of the mid-to-distal portion of the left anterior descending coronary artery (LAD) causing a long "bridgelike" effect.

Permanent pacemaker implantation following isolated aortic valve replacement in a large cohort of elderly patients with severe aortic stenosis.

Objectives: To assess the incidence of conduction disturbances leading to permanent pacemaker implantation (PPI) following isolated aortic valve replacement (AVR) in a large cohort of elderly patients with severe symptomatic aortic stenosis, and to determine the predictive factors and prognostic value of PPI following AVR in such patients.

Methods: A total of 780 consecutive elderly patients (age 77 ± 4 years, logistic EuroSCORE 10.4 ± 8.