Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm.
A 67-year-old man with ischemic cardiomyopathy was transferred to our hospital in cardiogenic. During a video-assisted mini-thoracotomy for left ventricular epicardial lead implantation, a left ventricular free-wall rupture occurred and an emergency surgical repair was performed. Postoperatively patients experience left ventricular wall pseudoaneurysm. After stabilization of clinical conditions with aggressive medical treatment, we decided to attempt a minimally invasive procedure (ie, a transcatheter pseudoaneurysm closure). To date, few cases of device closure of left ventricle pseudoaneurysm are reported in the literature, usually secondary to myocardial infarction, and we believe this is the first case of left ventricle pseudoaneurysm after iatrogenic left ventricle laceration and surgical closure.
Vignati
Gabriele
G
A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy.
Bruschi
Giuseppe
G
Mauri
Luigi
L
Annoni
Giuseppe
G
Frigerio
Maria
M
Martinelli
Luigi
L
Klugmann
Silvio
S
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D006328:Cardiac Catheterization / Q000295:instrumentation*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004554:Electric Countershock / Q000009:adverse effects* / Q000295:instrumentation; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012770:Shock, Cardiogenic / Q000628:therapy