title: Transapical closure of a pseudoaneurysm of the mitral-aortic intervalvular fibrosa.
abstract: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare but serious sequela of endocarditis or valve replacement surgery. Because open-heart surgery is a high-risk treatment option, alternative methods are sought. We present the case of a 77-year-old man with a noninfected mechanical mitral valve whose pseudoaneurysm was repaired by introducing an occluder device into the defect by a transapical approach. Upon follow-up imaging, the defect was successfully closed. We conclude that percutaneous closure of pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a viable alternative to surgery and that a transapical approach is an appropriate method of access.
authors.forename: Vasilis C
authors.initials: VC
authors.lastname: Babaliaros
authors.forename: Stamatios
authors.initials: S
authors.lastname: Lerakis
authors.forename: Vinod H
authors.initials: VH
authors.lastname: Thourani
authors.forename: Sebastian
authors.initials: S
authors.lastname: Iturra
authors.forename: Gregory
authors.initials: G
authors.lastname: Hartlage
authors.forename: Farheen
authors.initials: F
authors.lastname: Shirazi
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Clements
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000601:surgery*; D001021:Aortic Valve; D006348:Cardiac Surgical Procedures / Q000379:methods; D006322:Heart Aneurysm / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve
keywords: Aneurysm, false/diagnosis/etiology/closure, percutaneous; aortic root; aortic valve; cardiac catheterization; mitral valve