Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique
Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction, cardiac surgery, trauma or infection.Since surgical repair is associated with high morbidity and mortality, percutaneous closure has been described as an alternative.In this regard, we present a case in which a sy...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-07-01
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| Series: | Revista Portuguesa de Cardiologia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0870255116301081 |
| _version_ | 1819170367561793536 |
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| author | Marta Afonso Nogueira António Fiarresga Lídia de Sousa Ana Agapito Ana Galrinho Rui Cruz Ferreira |
| author_facet | Marta Afonso Nogueira António Fiarresga Lídia de Sousa Ana Agapito Ana Galrinho Rui Cruz Ferreira |
| author_sort | Marta Afonso Nogueira |
| collection | DOAJ |
| description | Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction, cardiac surgery, trauma or infection.Since surgical repair is associated with high morbidity and mortality, percutaneous closure has been described as an alternative.In this regard, we present a case in which a symptomatic large left ventricular pseudoaneurysm was treated by percutaneous closure due to the patient's high surgical risk, using a double snare technique.Despite the technical difficulties, this procedure had a good final result followed by clinical success, confirming that this procedure is an effective alternative to surgery in high-risk patients. Resumo: O pseudoaneurisma do ventrículo esquerdo consiste numa complicação rara após enfarte agudo do miocárdio, cirurgia cardíaca, trauma ou infeção.Dado que a sua correção cirúrgica se associa a uma elevada morbi-mortalidade, o encerramento percutâneo tem sido descrito como uma possível alternativa.Neste contexto, apresentamos um caso de um volumoso pseudoaneurisma do ventrículo esquerdo, o qual fora encerrado percutaneamente, utilizando uma técnica de duplo snare, devido ao elevado risco cirúrgico da doente.Apesar de algumas dificuldades técnicas, este procedimento teve um bom resultado final, com sucesso clínico a longo prazo, confirmando que o encerramento percutâneo constitui uma alternativa efetiva à cirurgia, em doentes de alto risco operatório. Keywords: Left ventricle, Pseudoaneurysm, Percutaneous closure, Double snare, Palavras-chave: Ventrículo esquerdo, Pseudoaneurisma, Encerramento percutâneo, Duplo snare |
| first_indexed | 2024-12-22T19:34:16Z |
| format | Article |
| id | doaj.art-5a6a348d3d0d4c09b5c8a88fee53bb76 |
| institution | Directory Open Access Journal |
| issn | 0870-2551 |
| language | English |
| last_indexed | 2024-12-22T19:34:16Z |
| publishDate | 2016-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Portuguesa de Cardiologia |
| spelling | doaj.art-5a6a348d3d0d4c09b5c8a88fee53bb762022-12-21T18:15:01ZengElsevierRevista Portuguesa de Cardiologia0870-25512016-07-01357441.e1441.e4Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare techniqueMarta Afonso Nogueira0António Fiarresga1Lídia de Sousa2Ana Agapito3Ana Galrinho4Rui Cruz Ferreira5Corresponding author.; Department of Cardiology, Santa Marta Hospital, Lisbon, PortugalDepartment of Cardiology, Santa Marta Hospital, Lisbon, PortugalDepartment of Cardiology, Santa Marta Hospital, Lisbon, PortugalDepartment of Cardiology, Santa Marta Hospital, Lisbon, PortugalDepartment of Cardiology, Santa Marta Hospital, Lisbon, PortugalDepartment of Cardiology, Santa Marta Hospital, Lisbon, PortugalLeft ventricular pseudoaneurysm is a rare complication of acute myocardial infarction, cardiac surgery, trauma or infection.Since surgical repair is associated with high morbidity and mortality, percutaneous closure has been described as an alternative.In this regard, we present a case in which a symptomatic large left ventricular pseudoaneurysm was treated by percutaneous closure due to the patient's high surgical risk, using a double snare technique.Despite the technical difficulties, this procedure had a good final result followed by clinical success, confirming that this procedure is an effective alternative to surgery in high-risk patients. Resumo: O pseudoaneurisma do ventrículo esquerdo consiste numa complicação rara após enfarte agudo do miocárdio, cirurgia cardíaca, trauma ou infeção.Dado que a sua correção cirúrgica se associa a uma elevada morbi-mortalidade, o encerramento percutâneo tem sido descrito como uma possível alternativa.Neste contexto, apresentamos um caso de um volumoso pseudoaneurisma do ventrículo esquerdo, o qual fora encerrado percutaneamente, utilizando uma técnica de duplo snare, devido ao elevado risco cirúrgico da doente.Apesar de algumas dificuldades técnicas, este procedimento teve um bom resultado final, com sucesso clínico a longo prazo, confirmando que o encerramento percutâneo constitui uma alternativa efetiva à cirurgia, em doentes de alto risco operatório. Keywords: Left ventricle, Pseudoaneurysm, Percutaneous closure, Double snare, Palavras-chave: Ventrículo esquerdo, Pseudoaneurisma, Encerramento percutâneo, Duplo snarehttp://www.sciencedirect.com/science/article/pii/S0870255116301081 |
| spellingShingle | Marta Afonso Nogueira António Fiarresga Lídia de Sousa Ana Agapito Ana Galrinho Rui Cruz Ferreira Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique Revista Portuguesa de Cardiologia |
| title | Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique |
| title_full | Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique |
| title_fullStr | Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique |
| title_full_unstemmed | Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique |
| title_short | Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique |
| title_sort | percutaneous closure of a giant left ventricular wall pseudoaneurysm anterograde approach with a double snare technique |
| url | http://www.sciencedirect.com/science/article/pii/S0870255116301081 |
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