Novel approach for the percutaneous treatment of left ventricular pseudoaneurysms

Publication Date

2014

Journal Title

Catheter Cardiovasc Interv

Abstract

Left ventricular pseudoaneurysm (LVPA) is a rare yet serious complication that may follow cardiac surgery, myocardial infarction, trauma, or infection. If left untreated, reported rates of rupture and sudden cardiac death are high. Although surgical intervention has traditionally been the standard treatment for LVPA, percutaneous closure is now an attractive alternative in the high-risk patient. We report a case of a successful percutaneous LVPA closure using direct chest wall entry into the pseudoaneurysm. This novel approach can be useful when access to the LVPA is a challenge, especially in the setting of small ostial size, dense left ventricular trabeculations, angulated serpiginous tract, and presence of mechanical prostheses. (c) 2015 Wiley Periodicals, Inc.

Volume Number

85

Issue Number

6

Pages

1092-1096

Document Type

Article

EPub Date

2014/12/24

Status

Faculty

Facility

School of Medicine

Primary Department

Cardiology

Additional Departments

Pediatrics; Cardiovascular and Thoracic Surgery

PMID

25533813

DOI

10.1002/ccd.25789

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