Percutaneous closure of left ventricular free wall rupture with associated false aneurysm to prevent cardioembolic stroke.
Left ventricular (LV) false aneurysm is an uncommon complication of myocardial infarction. Conventional treatment mandates surgical repair but is associated with significant perioperative risk. We present a case of successful percutaneous closure of a LV false aneurysm in a patient at high operative risk who suffered cardioembolic stroke related to thrombus within the aneurysm. The primary aim of treatment was to prevent recurrent embolic event.
Harrison
Wil
W
Greenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand. wharriso@middlemore.co.nz
Ruygrok
Peter N
PN
Greaves
Sally
S
Wijesinghe
Namal
N
Charleson
Hamish
H
Wade
Clyde
C
Devlin
Gerard
G
D017541:Aneurysm, False / Q000150:complications*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D017023:Coronary Angiography; D004617:Embolism / Q000150:complications* / Q000601:surgery; D005260:Female; D006341:Heart Rupture / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009203:Myocardial Infarction / Q000150:complications; D020521:Stroke / Q000517:prevention & control