An Interesting Case of Incidentally Detected Left Ventricular Subepicardial Pseudoaneurysm

Introduction: Left ventricular pseudoaneurysm is uncommon but can be potentially life threatening which results from breach that is contained by scar tissue. It carries a significant risk of rupture due to its propensity to grow rapidly. The symptoms are nonspecific and diagnosis is often delayed. Case report: We had a 65-year-old hypertensive gentleman who was admitted with complaints of angina and diagnosed to have posterolateral wall myocardial infarction. Coronary angiogram showed triple vessel disease. After taking informed consent, he was planned for Coronary Artery Bypass Graft surgery. On table, while lifting the heart to check for targets, a subepicardial aneurysm was noted in the lateral wall (OM territory). Transesophageal echocardiogram confirmed the same, also revealing that an impending rupture was imminent. Hence it had to be repaired.