This article reports the surgical treatment of a 70-year-old man with a clinically relevant large left ventricular aneurysm caused by chronic occlusion of the right coronary artery. Transthoracic and transesophageal echocardiography showed a large aneurysm spreading over the inferolateral wall and complicated by thrombotic stratification (Figure 1). A severe functional mitral regurgitation secondary to posteromedial papillary muscle displacement was