Giant left ventricular pseudoaneurysm presenting with hemoptysis

Figure 1 Right coronary angiogram in left anterior oblique 30° view. A: Mid right coronary angiogram (RCA) shows 70% diffuse stenosis; B: Mid RCA shows no luminal narrowing after stenting; C: Patent mid RCA stent at 2 years of follow up.

Figure 2 Echocardiography in apical 4-chamber view shows a large sub-mitral pseudoaneurysm (white arrow) containing a thrombus. LV: Left ventricular; LA: Left atrial.

Figure 3 Computed tomography image of the heart. A: Volume-rendered image shows a large pseudoaneurysm arising from the postero-lateral wall of the left ventricle; B: Postoperative reconstructed oblique coronal image shows opacified left ventricular cavity without a pseudoaneurysm.

Figure 4 Operative photograph of the pseudoaneurysm. A: Incised pseudoaneurysm sac showing a thrombus in the cavity; B: A circular connection 40 mm in size between the true left ventricular cavity and pseudoaneurysm sac; C: Polytetrafluoroethylene patch repair of the pseudoaneurysm.