Post-myocardial infarction giant left ventricular pseudoaneurysm presenting with severe heart failure

Figure 1 Echocardiography in apical 4 chamber view shows: A: Large left ventricle (LV) apical pseudoaneurysm as marked by a white arrow, measuring 60 mm × 90 mm, with a 30 mm neck; B: Post surgery, the well-delineated LV outline with complete removal of LV pseudoaneurysm. RV: Right ventricle; LA: Left atrium.

Figure 2 Computed tomography image of the heart. A: Computed tomography (CT) angiographic oblique axial image shows a rent of 28 mm at the left ventricle (LV) apex, communicating with a large 76 mm × 98 mm pseudoaneurysm; B: Post surgery, CT angiographic oblique coronal image in the plane of LV outflow tract shows well-delineated LV cavity without any pseudoaneurysm.

Figure 3 Operative photograph of pseudoaneurysm. A: Incised pseudoaneurysm sac showing left ventricle cavity through a circumferential 30-mm gap, as marked by black arrow; B: Polytetrafluoroethylene patch repair of the pseudoaneurysm, marked by black arrow.