case_images: PMC4900369_01
case_images: Chest X-ray (posterioranterior view)
case_images: ACA-19-169-g001.jpg
case_images: PMC4900369_01_ACA-19-169-g001.jpg
case_images: F1
case_images: Chest X-ray displayed an oval bulge on the left border of the heart [Figure 1].
case_images: Transesophageal echocardiography midesophageal four chamber view. Oval anechoic bulge on the left lateral aspect of the left ventricle size 8.2 cm x 6.9 cm
case_images: ACA-19-169-g002.jpg
case_images: PMC4900369_01_ACA-19-169-g002.jpg
case_images: F2
case_images: LV, which was communicating with the LV chamber through a passage measuring 2.7 cm [Figures 2 and 3]. LV function was good but with hypokinesia in the lateral wall.
case_images: Transesophageal echocardiography midesophageal two chamber view showing the communication of left ventricle with the cystic cavity
case_images: ACA-19-169-g003.jpg
case_images: PMC4900369_01_ACA-19-169-g003.jpg
case_images: F3
case_images: LV, which was communicating with the LV chamber through a passage measuring 2.7 cm [Figures 2 and 3]. LV function was good but with hypokinesia in the lateral wall.
case_images: Intraoperative picture showing the transmural hole of the pseudoaneurysm
case_images: ACA-19-169-g004.jpg
case_images: PMC4900369_01_ACA-19-169-g004.jpg
case_images: F4
case_images: After going on cardiopulmonary bypass and administration of cardioplegia, the cystic wall adhering to the pericardial cavity was dissected and opened [Figure 4].