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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Left Ventricular Pseudoaneurysm: An Unexpected Complication After Transcatheter Mitral Valve Implantation
Charles Vidoni1, Matthieu Besutti1, Benoit Guillon1
1Department of Cardiology, University Hospital Besancon, Besancon, France.
Background:
Left ventricular pseudoaneurysm is a rare condition whose prognosis and treatment are not well described.
Case Summary:
We report a case of left ventricular pseudoaneurysm of iatrogenic origin, occurring after transcatheter mitral implantation. The patient underwent successful percutaneous closure with an occluder.
Discussion:
The formation of a pseudoaneurysm is potentially fatal. The main causes are ischemic, postsurgical, and infectious and after percutaneous valve replacement. Diagnosis is based on nonspecific symptoms and multimodal imaging. Treatment may be medical, surgical, or percutaneous, depending on the clinic, imaging, and the decision of the heart team.
Take-Home Messages:
Left ventricular pseudoaneurysm after percutaneous valve implantation is a rare complication. Physicians could consider pseudoaneurysm percutaneous exclusion with an occluder.
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