Figure 2: Transthoracic pre-operative images showing difficulty in assessment of aortic regurgitation due to the diastolic jet from pseudoaneurysm (PsA) (a: Systole, b: Diastole). (c) Transesophageal (TEE) - pulse wave interrogation depicts pulsatility in PsA. (d) TEE - Bicaval view (108°) demonstrating PsA opening into left atrium