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Tex Heart Inst J. 2012;39(5):680-2.

Percutaneous closure of a left ventricular pseudoaneurysm in a high-risk surgical candidate.

Author information

  • 1Department of Adult Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA. biswajit.kar@uth.tmc.edu

Abstract

Few cases of percutaneous device closure of a left ventricular pseudoaneurysm have been reported. We describe the case of a 67-year-old man with a history of coronary artery disease who presented with shortness of breath and chest pain. Computed tomographic angiography showed a left ventricular pseudoaneurysm that was filling from a small leak in the anterolateral aspect of the ventricle. The patient had undergone 3 previous sternotomies and was a high-risk candidate for surgical treatment of the pseudoaneurysm. Despite technical challenges, we closed the pseudoaneurysm percutaneously with use of a 6-mm AMPLATZER muscular ventricular septal defect occluder. The patient was released from the hospital the next day and was asymptomatic a year later.To our knowledge, this is the first report of the percutaneous closure of a left ventricular pseudoaneurysm via the femoral vein. We show that this manner of closure can be feasible in patients who have undergone multiple sternotomies and who are at high surgical risk.

KEYWORDS:

Aneurysm, false/complications/therapy; heart catheterization/instrumentation; heart ventricles; risk factors; septal occluder device; surgical procedures, minimally invasive; treatment outcome; ventricular dysfunction, left/complications/therapy

PMID:
23109767
[PubMed - indexed for MEDLINE]
PMCID:
PMC3461682
Free PMC Article
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