Left Ventricle Pseudoaneurysm Repair and CABG Through the Left Anterior Minithoracotomy

We are presenting the case of minimally invasive repair of large left ventricle inferior pseudoaneurysm and concomitant CABG procedure. The patient was a 63 years old man who was presented with shortness of breath and severe angina pectoris.
Operation plan consisted of: left anterior minithoracotomy in 4th intercostal space, left internal mammary artery harvesting, peripheral cannulation for cardiopulmonary bypass, aortic cross-clamp and cardioplegia administration, pseudoaneurysm repair and LIMA to LAD anastomosis.
Postop ECHO showed better EF and reduction of MV insufficiency from moderate to minimal.
The patient spent 2 days in ICU and discharged home on the 6th postoperative day.