What comes to your mind when you hear of left ventricular apical aneurysm?
Two apical impulse.
Hint: Protozoa.
Chagas disease.
Brilliant!
Chagas disease causes destruction of the neural crest cells, right?
I know it causes Hirschprung disease. But how come apical aneurysm?
I think some parts of the heart are also formed from the neural crest cells.
The aorticopulmonary septum!
Chagas disease is associated with dilated cardiomyopathy.
I've heard of that.
Related fact: Chagas also causes achalasia.
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