Computed tomography of a broken heart: chronic left ventricular pseudoaneurysm.

The multislice cardiac computed tomography (CT) images of a 77-year-old man with a history of coronary artery bypass grafting and subsequent large left ventricular pseudoaneurysm (LVPA) formation are presented. Survival, as in this case, for several years after pseudoaneurysm formation is unusual without operative intervention. The case highlights the utility of CT in this scenario in allowing accurate assessment of LVPA anatomy, as well as noninvasive assessment of graft vessel patentcy, both vital to surgical planning in such high-risk cases.