Abstract
A 77-year-old man presented with non-ST-segment elevation myocardial infarction, congestive heart failure and cardiogenic shock. In the coronary care unit, the patient was initially stabilized by diuresis and afterload reduction. Six months previously he had experienced an episode of severe dyspnea, orthopnea and chest heaviness. Echocardiography and coronary angiography. Ventricular pseudoaneurysm associated with mitral regurgitation after myocardial infarction. Pseudoaneurysm repair using a bovine pericardial patch, coronary artery bypass grafting of the left anterior descending and circumflex coronary artery and management of mitral regurgitation by ventricular remodeling.
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