Left ventricular pseudo aneurysm and its recurrence following surgical repair

Pseudo aneurysm (PA) of the left ventricle is a rare cardiac condition caused by rupture of the free wall of the myocardium contained by pericardial adhesions or epicardial wall. Early detection of pseudo aneurysm is important as it carries a high risk of rupture that can be fatal. A young male presented with symptomatic left ventricular pseudo-aneurysm 6 years back. He underwent aneurysm repair using Gore-Tex patch with good result. Four years later asymptomatic recurrence was picked up by echocardiography during follow-up. Further imaging was done by MDCT scan and one year later by cardiac MRI. The patient was advised for a redo surgery that he declined and preferred to be on medical follow up. The patient is doing well and asymptomatic 2 years after the diagnosis of recurrence was made.