Transcatheter device closure of pseudoaneurysms of the left ventricular wall: An emerging therapeutic option

Left ventricular pseudoaneurysm is a rare but serious complication of acute myocardial infarction and cardiac surgery. While surgical intervention is the conventional therapeutic option, transcatheter closure can be considered in selected patients with suitable morphology of the pseudoaneurysm. We r...

Full description

Bibliographic Details
Main Authors: Tarun Madan, Manish Juneja, Abhishek Raval, Bhavesh Thakkar
Format: Article
Language:English
Published: Elsevier 2016-02-01
Series:Revista Portuguesa de Cardiologia
Online Access:http://www.sciencedirect.com/science/article/pii/S0870255116000056
Description
Summary:Left ventricular pseudoaneurysm is a rare but serious complication of acute myocardial infarction and cardiac surgery. While surgical intervention is the conventional therapeutic option, transcatheter closure can be considered in selected patients with suitable morphology of the pseudoaneurysm. We report a case of successful transcatheter closure of a left ventricular pseudoaneurysm orifice and isolation of the sac using an Amplatzer septal occluder. Resumo: O pseudoaneurisma do ventrículo esquerdo é uma complicação rara, mas grave, de enfarte agudo do miocárdio ou pós-cirurgia cardíaca. Enquanto a intervenção cirúrgica é a opção terapêutica convencional, o seu encerramento percutâneo pode ser considerado em pacientes selecionados com morfologia adequada do pseudoaneurisma. Relatamos um caso de oclusão percutânea bem-sucedida do orifício do pseudoaneurisma ventricular esquerdo, isolando o saco através da implantação de um dispositivo de Amplatzer. Keywords: Acute myocardial infarction, Complications, Pseudoaneurysm, Heart failure, Device closure, Palavras-chave: Enfarte agudo do miocárdio, Complicações, Pseudoaneurisma, Insuficiência cardíaca, Encerramento com dispositivos
ISSN:0870-2551