Progressive deterioration of left ventricular function in a patient with a normal coronary angiogram

Figure 2 Coronary artery angiogram and left ventriculogram. A: Right anterior oblique (RAO) projection shows normal left anterior descending artery and left circumflex artery; B: Left anterior oblique projection shows normal right coronary artery; C: RAO projection shows the silhouette of the left ventricle at end diastole; D: RAO projection shows the silhouette of the left ventricle at end systole; the wall motion analysis at the top right shows aneurysms with systolic bulging in the apex and anterolateral wall.