Objective analysis of the left ventricular angiogram in a patient with angina but normal coronary arteries showed an appreciable disturbance of regional wall movement. Because of persistent symptoms refractory to medical treatment left ventricular plication was undertaken. This resulted in a return to normal of a series of disturbances of left ventricular wall motion commonly found in patients with obstructive coronary disease, and a striking improvement in the patient's symptoms. The patient remains symptom free five years after operation.
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