Document Detail


Percutaneous closure of a left ventricular pseudoaneurysm in a high-risk surgical candidate.
MedLine Citation:
PMID:  23109767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Biswajit Kar; Gunjan Gholkar; Igor D Gregoric; Surendra K Jain; Pranav Loyalka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-30     Completed Date:  2013-04-10     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  680-2     Citation Subset:  IM    
Affiliation:
Department of Adult Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA. biswajit.kar@uth.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / radiography,  therapy*
Cardiac Catheterization* / instrumentation
Coronary Angiography / methods
Femoral Vein / radiography
Heart Aneurysm / radiography,  therapy*
Heart Ventricles
Humans
Male
Prosthesis Design
Septal Occluder Device
Tomography, X-Ray Computed
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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