left ventricular pseudoaneurysm is a rare complication of myocardial
   infarction. Since the risk of rupture is high , accurate diagnosis and if possible
   prompt surgical repair are of great importance.

          A 79 year old man was admitted because of dyspnea on exertion and
   congestive heart failure , two weeks after an acute inferoposterolateral
   myocardial infarction. B mode echocardiography and color doppler were
   done on the patients and left ventricular pseudoaneurysm was diagnosed.
   Because of high risk of his operation , he only received medical therapy.
   Fortunately after more than two years , his general condition is satisfactory.