CAD & Post PTCA

Operated an interesting rarely performed and very high risk case.
The patient, a known case of CAD & post PTCA, presented with acute limb ischaemia due to thrombus at aortic bifurcation. On further investigation he was found to have CONTAINED RUPTURE OF LEFT VENTRICLE WITH LARGE COMMUNICATING PSEUDOANEURYSM WITH CLOTS.
An emergency bilateral femoral embolectomy as first stage followed by a successful patch closure of LV wall rupture was done (a procedure which carries upto 50% mortality world over)