A 46-year-old female presented with a 3-month history of palpitations. Chest radiograph presented a ‘calabash’ configuration. Cardiac CT revealed supracardiac total anomalous pulmonary venous return, whereby all the pulmonary veins drain into vertical vein and finally to the superior vena cava. Cardiac catheterisation was consistent with anomalous pulmonary venous.

We report a case with left ventricular pseudo-aneurysm and ventricular septal perforation after acute myocardial infarction. A 77-year-old man was admitted because of repeated chest distress and chest pain for 1 week, which was diagnosed by an electrocardiogram with acute anteroseptal ST-segment elevation myocardial infarction and troponin T elevation. The transthoracic echocardiography and cardiac magnetic resonance showed the left ventricular apical pseudo-aneurysm and lower segment of ventricular septal perforation, and confirmed by left ventriculography. Surgical treatment was performed, with operation procedure successfully. In this article, we report a rare case in clinical and review the literatures of left ventricular pseudo-aneurysm.