Background: Left ventricular pseudoaneurysm is a rare but serious complication of cardiac surgery, often associated with significant morbidity and mortality. Timely recognition and management of postoperative complications are crucial, as they can lead to severe outcomes.
Case Presentation: We describe a 65-year-old man with a history of type II diabetes mellitus, hypertension, and recent cardiac surgery for left ventricular pseudoaneurysm repair. He was presented with a red oozing discharge from the draining tube site, shortness of breath, and generalized body swelling. Despite initial stability, his condition rapidly deteriorated, leading to septic shock and complications, including patch dehiscence, cardiopleurocutaneous fistula, and active bleeding.
Conclusion: This case underscores the critical role of imaging in detecting and managing rare postoperative complications, such as cardiopleurocutaneous fistulas, following cardiac surgery. Early identification and intervention are essential to improving outcomes in such challenging cases.
Key words: Pseudoaneurysm, fistula, hemorrhage
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