Left ventricular aneurysm (LVA) is defined as a distinct area of abnormal left ventricular diastolic contour with systolic dyskinesia or paradoxical bulging. A False aneurysm is defined as a rapture of the left ventricular wall enclosed by a surrounding pericardium, with an incidence rate of 10-35% of developing a myocardial infarction, depending on methods used for diagnosis and definition. A 70 year old male patient was presented at Sultan Qaboos University Hospital in Salalah with a history of increasing shortness of breath and a cough producing a white coloured sputum over the last 2 weeks prior to admission. The patient also had a history of orthopnea and paroxysmal nocturnal dyspnea for the 2 days prior to admission. For two years prior to admission, the patient had experienced shortness of breath on performing ordinary activities, and swelling of both legs over the last 2 months. However, the patient had no chest pain, no palpitation, no dizziness, no chest pain on effort and no history of dysuria. The patient was known to suffer from Coronary Artery Disease and experienced a myocardial infarction (MI) 10 years back where a coronary artery bypass surgery (CABG) was performed. The patient also had a history of diabetes and hypertension but was on irregular treatment and irregular follow up.