Aortic pseudoaneurysm is most commonly seen as a complication of ascending aorta replacement, appearing several years after the operation. Pseudoaneurysm after cardiac catheterization, on the other hand, is very unusual.
We present a rare case of successful management of a myocardial infarction caused by aortic pseudoaneurysm more than 50 years after surgical closure of a ventricular septal defect. A 64-year-old woman who had undergone surgical closure of a congenital ventricular septal defect at the age of 11 years was examined in our cardio center for long-term worsening exertional dyspnea.
Echocardiography revealed a residual hemodynamically insignificant left-to-right shunt after the ventricular septal defect closure.