“…The LVOT pseudoaneurysm has been reported in patients having history of cardiac surgery, myocardial infarction, prosthetic aortic valve replacement, infective endocarditis, chest trauma and congenital heart diseases particularly outlet type of ventricular septal defect. [1][2][3][4][5][6][7] Mitral -aortic intervalvular fibrosa is predominantly fibrous, avascular, and is prone to infection and trauma which can lead to aneurysm formation. [8] The symptomatology is usually vague and is secondary to obstruction produced by the aneurysmal sac of the surrounding structures like LVOT, coronary arteries, pulmonary artery, left atrium, and left main bronchus or it may be fatal if it ruptures in these structures.…”