Author/Editor		Kar, Biswajit; Gholkar, Gunjan; Gregorič, Igor; Jain, Surendra K.; Loyalka, Pranav
Title		Percutaneous closure of a left ventricular pseudoaneurysm in a high-risk surgical candidate
Type		članek
Vol. and No.		Letnik 39, št. 5
Publication year		2012
Volume		str. 680-682
ISSN		0730-2347 - Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Language		eng
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 complications heart catheterization anevrizma komplikacije katetrizacija srca