Abstract
A 73-year-old male with a history of mechanical aortic valve replacement and DDD pacemaker implantation was referred to our hospital with progressive anginal complaints. Invasive coronary angiography (CA) revealed systolic compression of the left main coronary artery (LMCA), suggesting an extra-cardiac mass compromising blood flow. Single photon emission computed tomography (SPECT) and multislice computed tomography-CA (MSCT-CA) were obtained which revealed a pseudoaneurysm originating from half the circumference of the left ventricular outflow tract (LVOT) …
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