Percutaneous closure of post TAVR LV apical pseudoaneurysm.
Left ventricular (LV) apical pseudoaneurysm is a well known complication of myocardial infarction and open heart surgery procedures, and has more recently been described after transapical transcatheter aortic valve replacement (TAVR). Since the natural history includes a high incidence of cardiac rupture and mortality in the 30-45% range within the first year after diagnosis, surgical repair has been the main therapy. More recently, LV pseudoaneurysms have been closed using percutaneous methods. We describe a post-TAVR pseudoaneurysm for which closure was done via retrograde LV access using a vascular plug, and provide a review of recent literature on closure methods and outcomes. © 2015 Wiley Periodicals, Inc.
NorthShore University HealthSystem, Evanston, Illinois. tfeldman@tfeldman.org.
Ted
T
Feldman
NorthShore University HealthSystem, Evanston, Illinois.
Paul
P
Pearson
NorthShore University HealthSystem, Evanston, Illinois.
Steven S
SS
Smart
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D062906:Cardiac Catheters; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008279:Magnetic Resonance Imaging; D012720:Severity of Illness Index; D016896:Treatment Outcome
aortic valve disease; percutaneous intervention; structural heart disease intervention; transcatheter valve implantation