title: Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm.
abstract: 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.
authors.affiliation: A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Vignati
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bruschi
authors.forename: Luigi
authors.initials: L
authors.lastname: Mauri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Annoni
authors.forename: Maria
authors.initials: M
authors.lastname: Frigerio
authors.forename: Luigi
authors.initials: L
authors.lastname: Martinelli
authors.forename: Silvio
authors.initials: S
authors.lastname: Klugmann
mesh_terms: 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