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Heat olive oil in a large pan over medium heat. Once oil is heated, add the minced garlic and cook until fragrant and lightly browned.
Add heavy cream and pesto to the pan. Stir until combined. Turn heat down to low and simmer until the sauce thickens, about 10-15 minutes, stirring occasionally.
While sauce simmers, cook the pasta according to package instructions. Reserve at least ½ cup of pasta water.
Add the cooked pasta, basil, black pepper, parmesan, and lemon juice to the sauce. Stir until well combined. Add pasta water a little at a time if the sauce is too thick, until desired consistency is reached. Taste and adjust seasoning as needed.
Serve with extra fresh basil and parmesan.