Received: February 22, 1999 Accepted with revision: April 13, 1999 diac ischemia. Two-dimensional echocardiography in the two-chamber view showed a pseudoaneurysm originating from the junctional area between the middle portion of the ventricular septum and the inferior left ventricular wall. Emergency coronary angiography showed multivessel disease with a total occlusion of the right coronary artery. Left ventricular angiography confirmed a well-demarcated pseudoaneurysm with an inferiorly located narrow neck (arrow) (Fig. 1, diastole). Figure 2 shows the left ventricle in systole with inferior akinesia and the pseudoaneurysm. Because of the high risk of rupture, immediate surgical repair was performed. which was successful.