Leaking Left Ventricular Pseudoaneurysm

A56-year-old obese woman with severe steroid- and oxygen-dependent chronic obstructive pulmonary disease was thought to have experienced an apical myocardial infarction at home on the basis of review of history. When she was evaluated 3 months later at an outside hospital for recurrent chest pain, a cardiac catheterization revealed a total distal occlusion of the left anterior descending coronary artery, borderline occlusive disease in other coronary arteries, and an …