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. 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.
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