Surgery for left ventricular pseudoaneurysm: thoracotomy or sternotomy.

We experienced 2 cases of left ventricular pseudoaneurysm located at the posterolateral wall. Case 1 was an 80-year-old woman who developed a left ventricular pseudoaneurysm 4 months after sutureless repair of left ventricular free wall rupture due to acute myocardial infarction. The pseudoaneurysm was repaired through a left thoracotomy. Case 2 was a 77-year-old woman who was diagnosed with left ventricular pseudoaneurysm incidentally by computed tomography. Aneurysmorrhaphy was conducted through a standard median sternotomy.