Rupture of left ventricle leading to pseudo-aneurysm formation

A 55-year-old Asian man was admitted with a 24-h history of central crushing chest pain radiating to his left arm worse on the day of admission. He was known to have peripheral vascular disease, diabetes, previous right below knee amputation and hyperlipidaemia; he was also a long-term smoker. On examination he was haemodynamically stable with no evidence of cardiac failure or murmurs. His …