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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Thromboexclusion of an atypical left ventricular pseudoaneurysm

Nayan T Srivastava1, Mark H Hoyer

  • 1Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|May 15, 2014
PubMed

Insights

A rare pediatric left ventricular pseudoaneurysm was successfully treated using staged transcatheter procedures. Cardiac MRI was crucial for planning this minimally invasive approach for the unusual condition.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Cardiovascular Imaging

Background:

  • Left ventricular pseudoaneurysm (LVPA) is a rare but serious condition in children.
  • Surgical repair has historically been the standard treatment for LVPA.
  • Atypical presentations necessitate exploration of alternative therapeutic strategies.

Observation:

  • A case of an atypical left ventricular pseudoaneurysm in a pediatric patient is presented.
  • The pseudoaneurysm was successfully managed using a staged transcatheter approach.
  • Preprocedure cardiac magnetic resonance imaging (CMR) provided critical anatomical and functional data.

Findings:

  • The staged transcatheter intervention proved effective in treating the atypical LVPA.
  • Detailed imaging from CMR facilitated precise procedural planning and execution.
  • This approach offers a potentially less invasive alternative to surgery for select pediatric LVPA cases.

Implications:

  • Transcatheter techniques represent a viable treatment option for pediatric left ventricular pseudoaneurysms.
  • Cardiac magnetic resonance imaging is indispensable for the management of complex cardiovascular anomalies in children.
  • This case expands the therapeutic armamentarium for rare pediatric cardiac conditions.

Keywords:
complications pediatric catheterization/interventionembolizationpediatric interventions

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