title: Direct Percutaneous Repair of Left Ventricular Pseudoaneurysm via Transthoracic Deployment of a Ventricular Septal Defect Closure Device.
abstract: In this case report, we describe direct percutaneous delivery of a muscular-ventricular-septal-defect occluder device to close a left ventricular pseudoaneurysm. The occluder was positioned and deployed with the aid of concurrent transthoracic ultrasonography, transesophageal echocardiography, and fluoroscopy. In contrast with previously published reports, we describe and illustrate a direct transthoracic route across the pseudoaneurysmal sac, which obviated the need for indirect transfemoral or transapical approaches.
authors.forename: John
authors.initials: J
authors.lastname: Moriarty
authors.forename: Tyler J
authors.initials: TJ
authors.lastname: Harris
authors.forename: Gabriel
authors.initials: G
authors.lastname: Vorobiof
authors.forename: Murray
authors.initials: M
authors.lastname: Kwon
authors.forename: Jamil
authors.initials: J
authors.lastname: Aboulhosn
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography / Q000379:methods; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D011474:Prosthesis Design; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aneurysm, false/complications/therapy; embolization, therapeutic; fluoroscopy; heart ventricles; septal occluder device; surgical procedures, minimally invasive; ultrasonography, Doppler, color