This is the second in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is 2 chamber apical without doppler.