Lv Pseudoaneurysm - An Unprecedented Condition

Pseudoaneurysms (false) aneurysms usually develop when cardiac rupture is contained by preexisting adhesion of the pericardium .These lesions are rare and can be distinguished from true aneurysms by a narrow neck which is devoid of myocardial elements in the walls 6-10 .The complication of pseudoaneurysm like angina ,left ventricular failure , embolization and arrythymias are similar to that of true aneurysm, though the likelihood of rupture are highest. The knowledge of the natural history of patients with postinfarction LV pseudoaneurysm is sparse and limited due to high mortality and decreased survival time associated with them. We report the case of a post bypass elderly man who survived asymptomatically for 4 years with an unrepaired pseudoaneurysm..