title: Hybrid trans-apical device closure of left ventricular pseudoaneurysm under trans-oesophageal echocardiographic guidance.
abstract: Left ventricular pseudo aneurysm (LVPA) results from contained left ventricular free wall rupture following either myocardial infarction or cardiac surgery. Untreated LVPA carries approximately 30-45% risk of rupture in the first year. Conventional treatment for LVPA is surgery which carries a mortality of about 20%. Interventional closure of LVPA has been reported from trans-arterial and trans-apical routes. Here we report successful hybrid closure of a LVPA under trans-oesophageal echocardiogram (TEE) guidance.
authors.affiliation: Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India.
authors.forename: Vijayakumar
authors.initials: V
authors.lastname: Subban
authors.forename: Vallikapathalil Mathew
authors.initials: VM
authors.lastname: Kurian
authors.forename: Mullasari Sankardas
authors.initials: MS
authors.lastname: Ajit
authors.forename: Ragavannair Suresh
authors.initials: RS
authors.lastname: Kumar
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery