Acute myocardial infarction as the manifestation of the thoracic aorta pseudoaneurysm

We present the case of the 56-year-old Caucasian man, with the 30 months history of previous Yacoub operation, reported to the complex cardiovascular center as the acute coronary syndrome with new LBBB ECG changes. Coronary angiogram proved the atypical affection of the left main coronary artery, transesophageal echocardiography clarified a large aortic pseudoaneurysm repressed both of coronary arteries, as the cause of symptoms. The surgical correction (Bentall procedure) was successfully performed and the patient was discharged 23 days after redo surgery with no complications.