Over the cardiac apex, a grade 5/6 proto-mesosystolic murmur was audible.

Such myocardial calcification appears as a thin, curvilinear mass, usually found within the periphery of the infarct, in the distribution of the interven-tricular septum and cardiac apex.

Abnormal localization of the cardiac apex, a common atrioventricular canal, anomalous systemic venous return (eg, bilateral superior vena cava, interruption of the inferior vena cava with azygos continuation), atrial and ventricular malformations and septal defects, absent coronary sinus, malpo sition or transposition of the great arteries, pulmonic stenosis, pulmonary atresia, patent ductus arteriosus, and anomalous pulmonary venous connection have often been described.