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Heart, Lung and Circulation

Transapical Closure of an Iatrogenic Left Ventricular Apical Pseudoaneurysm

Published:January 24, 2022DOI:https://doi.org/10.1016/j.hlc.2021.11.012
      Left ventricular (LV) pseudoaneurysm is a potentially life threatening condition with an estimated one-year mortality as high as 30–45% [
      • Al-Hijji M.A.
      Transapical percutaneous closure of rapidly expanding post-surgical left ventricular outflow tract pseudoaneurysm.
      ]. Historically the only option for repair has been open surgery. However, given that pseudoaneurysms usually develop in the setting of a cardiac insult, open surgery may be high risk. New percutaneous options to repair these defects have recently been described as an alternative [
      • Dudiy Y.
      • Jelnin V.
      • Einhorn B.N.
      • Kronzon I.
      • Cohen H.A.
      • Ruiz C.E.
      Percutaneous closure of left ventricular pseudoaneurysm.
      ].

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      References

        • Al-Hijji M.A.
        Transapical percutaneous closure of rapidly expanding post-surgical left ventricular outflow tract pseudoaneurysm.
        Catheter Cardiovasc Interv. 2019; : 859-862
        • Dudiy Y.
        • Jelnin V.
        • Einhorn B.N.
        • Kronzon I.
        • Cohen H.A.
        • Ruiz C.E.
        Percutaneous closure of left ventricular pseudoaneurysm.
        Circ Cardiovasc Interv. 2011; 4: 322-326