Thoracic Aortic Aneurysm Compression of the Left Ventricle

An 83-year-old man presented with a symptomatic contained rupture of a thoracoabdominal aortic aneurysm and type I endoleak of a previously repaired aneurysm. This transthoracic echocardiogram in parasternal long-axis view shows dynamic compression of the posterior left ventricle by the thoracic portion of the aneurysm during midsystole, causing pulsus bisferiens on arterial waveforms. A thoracic endovascular graft from prior surgery can be seen within the aneurysm. The patient underwent deployment of an aortic stent graft but died on postoperative day 5 from surgical complications. Click the article link for full case details.