A 50 year old male with a history of myocardial infarction 3 months prior presents to the emergency department with shortness of breath. Diagnostic workup revealed a left ventricular pseudoaneurysm of the inferolateral wall. Coronary artery disease and mitral valve regurgitation were concomitantly identified. Surgical intervention on these issues was successful. This case report highlights a rare but important complication of myocardial infarction.