A 61-year-old man, with a recent history of myocardial infarction, presented with heart failure. Cardiac magnetic resonance (MR) identified a transmural infarction with wall thinning of the basal inferior and inferolateral segments (Fig. 1a, b). Initially, the diagnosis of cardiac aneurysm was made. Transthoracic echocardiography demonstrated a large cavity in the inferoposterolateral region, with systolic expansion and bidirectional flow (Fig. 1c). Despite having a broad base it suggested the presence of a pseudoaneurysm that was confirmed by surgery. It was repaired using a bovine pericardial patch (Fig. 1d).
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