Ventricular septal defect in association with left ventricular aneurysm formation has been reported rarely. Quinn and Brady (Heart 2002;87:567) describe attempted surgical closure of such a defect that was unsuccessful. A 61 year old man presented with a very similar defect 10 days after inferoseptal myocardial infarction. He was referred to our centre for consideration of surgical closure but deteriorated further with ventricular dysrhythmia, renal …