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Percutaneous device closure of a pseudoaneurysm of the left ventricular wall
P Clift1, S Thorne, J de Giovanni
1Grown Up Congenital Heart Disease Unit, Queen Elizabeth Hospital, University Hospital Birmingham, Birmingham, UK.
Insights
Percutaneous device closure successfully treated a large left ventricular pseudoaneurysm in a patient with heart failure. This minimally invasive approach offers a viable option for managing complex cardiac conditions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- A 60-year-old male with a history of myocardial infarction, ventricular tachycardia, and left ventricular aneurysm underwent coronary artery bypass grafting and aneurysmectomy.
- The patient later developed a significant left ventricular pseudoaneurysm, leading to New York Heart Association functional class II heart failure symptoms.
Observation:
- The patient presented with symptoms indicative of advanced heart failure secondary to a large left ventricular pseudoaneurysm.
Findings:
- Percutaneous device closure was employed to address the left ventricular pseudoaneurysm.
- The selection of the specific interventional approach and closure device is detailed.
Implications:
- Percutaneous closure represents a potential minimally invasive therapeutic strategy for left ventricular pseudoaneurysms.
- This case highlights the importance of considering device closure for complex pseudoaneurysms in patients with compromised cardiac function.
Abstract:
The percutaneous device closure of a left ventricular pseudoaneurysm is described in a 60 year old man with a history of myocardial infarction complicated by ventricular tachycardia and left ventricular aneurysm treated by coronary artery bypass grafting and aneursymectomy with ventricular tachycardia ablation. He subsequently developed a vast pseudoaneurysm of the left ventricle with New York Heart Association functional class II heart failure symptoms. The selection of the approach and type of device used to close the neck of the pseudoaneurysm are discussed.
