The current guidelines do not advise follow-up echocardiograms after ST-segment elevation myocardial infarction (STEMI), unless the left ventricular ejection fraction is ≤40%. We present an interesting case of left ventricular pseudo-aneurysm – diagnosed six months after index STEMI presentation. Follow-up echocardiogram was performed in her case due to jaw pain during routine haemodialysis. The patient was successfully treated with percutaneous closure device. This case raises the question if echo follow-up should be routinely advised after STEMI – even in those with minimal cardiac symptoms.