Electrocardiograms on admission and after surgery (panels A and F respectively), the parasternal long axis view of the transthoracic echocardiogram (panel B), cardiac CT and 3D reconstruction (panels C and D respectively) and pictures of the surgery after median sternotomy from the anesthesiologist's visual perspective (panel E). Blue star: pseudo-aneurysm; blue arrow: right sinus of Valsalva; red arrow: pseudo-aneurysm bleeding into interventricular septum. Ao, aorta; LA, left atrium; LV, left ventricle; RCA, right coronary artery.