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Left ventricular pseudoaneurysm is defined as a rupture of the myocardium that is contained by pericardial adhesion or the epicardial wall. The etiology of pseudoaneurysm are mainly transmural myocardial infarction, various type of cardiac surgery, blunt or penetrating chest trauma, infection (endocarditis, myocarditis, tuberculosis, syphilis). Although LV pseudoaneurysm is clinically uncommon, diagnosis is difficult and rupture often leads to death. Therefore, a surgical repair is necessary in most cases of left ventricular pseudoaneurysm. It is important to have a high clinical index of suspicion, because the symptoms, signs, electrocardiographic abnormalities and radiographic findings seen in LV psuedoaneurysm can be indistinguishable from those in patients with coronary disease alone. We report a case of 64-year-old male with coronary artery disease of 3 vessel and symptomatic left ventricular pseudoaneurysm after myocardial infarction.
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