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 resting 12-lead electrocardiogram (ECG) revealed an acute anterior ST-elevation myocardial infarction. In view of his ongoing chest pains and ECG findings he was promptly transferred to the cardiac catheterisation laboratory for immediate primary angioplasty. Coronary angiography revealed an occluded proximal left anterior descending coronary artery with moderate disease in the left circumflex and dominant right coronary artery. The occluded vessel was opened and a stent was deployed in the