Giant Left Ventricular Pseudoaneurysm

A 70-year-old woman underwent left ventricle (LV) pseudoaneurysm resection and LV wall repair with a Hemashield patch (4 x 6 cm). The LV pseudoaneurysm represented an incidental finding in patient status post myocardial infarction two years prior. The patient underwent surgical pseudoaneurysm resection with a patch, and mitral valve annuloplasty. The wall of the pseudoaneurysm consisted of fibrous tissue and partially organized thrombus. Her postoperative course was uncomplicated. Transesophageal echocardiogram (TEE) is an important imaging technique in the management of pseudoaneurysm repair.