In this video we review a challenging case of a 48-year-old woman presenting with chest pain. We explore the role of Echo, CT, and MRI imaging, and highlight how surprising and dramatic results led to a diagnosis of a Left Ventricular Pseudoaneurysm (LVPA). Using excellent intraoperative surgical video, we also explore the best surgical approach to treating LVPA. Topics include:

• The diagnosis and possible etiologies of LVPA
• Critical role of imaging for diagnosis and for planning surgical management
• The keys to re-operating after previous, unsuccessful surgery to fix LVPA

Percy Boateng, MD
Associate Professor, Department of Cardiovascular Surgery 
Icahn School of Medicine at Mount Sinai

Randolph P. Martin, MD
Clinical Professor, Department of Cardiovascular Surgery
Icahn School of Medicine at Mount Sinai