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Published in: CardioVascular and Interventional Radiology 6/2013

Open Access 01-12-2013 | Case Report

Endovascular Treatment of Two Pseudoaneurysms Originating From the Left Ventricle

Authors: Wojciech Cwikiel, Inger Keussen, Ronny Gustafsson, Arash Mokhtari

Published in: CardioVascular and Interventional Radiology | Issue 6/2013

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Abstract

A 67-year-old woman resented with an acute type A aortic dissection, which was treated surgically with aortic valve replacement as a composite graft with reimplantation of the coronary arteries. At the end of surgery, a left-ventricular venting catheter was placed through the apex and closed with a buffered suture. Consecutive computed tomography (CT) examinations verified a growing apex pseudoaneurysm. Communication between the ventricle and the pseudoaneurysm was successfully closed with an Amplatz septal plug by the transfemoral route. Follow-up CT showed an additional pseudoaneurysm, which also was successfully closed using the same method.
Literature
1.
go back to reference Patel HJ, Nguyen C, Diener AC, Passow MC, Salata D, Deeb GM (2011) Open arch reconstruction in the endovascular era: analysis of 721 patients over 17 years. J Thorac Cardiovasc Surg 141(6):1417–1423PubMedCrossRef Patel HJ, Nguyen C, Diener AC, Passow MC, Salata D, Deeb GM (2011) Open arch reconstruction in the endovascular era: analysis of 721 patients over 17 years. J Thorac Cardiovasc Surg 141(6):1417–1423PubMedCrossRef
2.
go back to reference Hines G, Dracea C, Katz DS (2011) Diagnosis and management of acute type A aortic dissection. Cardiol Rev 19:226–232PubMedCrossRef Hines G, Dracea C, Katz DS (2011) Diagnosis and management of acute type A aortic dissection. Cardiol Rev 19:226–232PubMedCrossRef
3.
go back to reference Shahriari A, Eng M, Tranquilli M, Elefteriades JA (2009) Rescue coronary artery bypass grafting (CABG) after aortic composite graft replacement. J Card Surg 24:392–936PubMedCrossRef Shahriari A, Eng M, Tranquilli M, Elefteriades JA (2009) Rescue coronary artery bypass grafting (CABG) after aortic composite graft replacement. J Card Surg 24:392–936PubMedCrossRef
4.
go back to reference Weesner KM, Byrum C, Rosenthal A (1981) Left ventricular aneurysms associated with intraoperative venting of the cardiac apex in children. Am Heart J 101:622–625PubMedCrossRef Weesner KM, Byrum C, Rosenthal A (1981) Left ventricular aneurysms associated with intraoperative venting of the cardiac apex in children. Am Heart J 101:622–625PubMedCrossRef
5.
go back to reference Mazzola R, Gregoriani C, Villani M, Di Eusanio R, Giancola U, Minuti U et al (2004) Images in cardiovascular medicine left ventricular pseudoaneurysm secondary to left ventricular venting through the right superior pulmonary vein. Ital Heart J 5:881–882PubMed Mazzola R, Gregoriani C, Villani M, Di Eusanio R, Giancola U, Minuti U et al (2004) Images in cardiovascular medicine left ventricular pseudoaneurysm secondary to left ventricular venting through the right superior pulmonary vein. Ital Heart J 5:881–882PubMed
6.
go back to reference Hong JH, Choi JW, Moon JH, Lim SH (2007) Pseudoaneurysm of left ventricular apex caused by a left ventricular venting catheter through the right superior pulmonary vein. J Thorac Cardiovasc Surg 134:229–230PubMedCrossRef Hong JH, Choi JW, Moon JH, Lim SH (2007) Pseudoaneurysm of left ventricular apex caused by a left ventricular venting catheter through the right superior pulmonary vein. J Thorac Cardiovasc Surg 134:229–230PubMedCrossRef
7.
go back to reference Yamamoto S, Hosoda Y, Yamasaki M, Ishikawa N, Fuchimoto K, Fukuda T (2001) Transapical aortic cannulation for acute aortic dissection to prevent malperfusion and cerebral complications. Tex Heart Inst J 28:42–43PubMed Yamamoto S, Hosoda Y, Yamasaki M, Ishikawa N, Fuchimoto K, Fukuda T (2001) Transapical aortic cannulation for acute aortic dissection to prevent malperfusion and cerebral complications. Tex Heart Inst J 28:42–43PubMed
8.
go back to reference Sosnowski AW, Jutley RS, Masala N, Alexiou C, Swanevelder J (2008) How I do it: transapical cannulation for acute type A aortic dissection. J Cardiothorac Surg 3:4PubMedCrossRef Sosnowski AW, Jutley RS, Masala N, Alexiou C, Swanevelder J (2008) How I do it: transapical cannulation for acute type A aortic dissection. J Cardiothorac Surg 3:4PubMedCrossRef
9.
go back to reference Al-Attar N, Ghodbane W, Himbert D, Rau C, Raffoul R, Messika-Zeitoun D et al (2009) Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg 88:90–94PubMedCrossRef Al-Attar N, Ghodbane W, Himbert D, Rau C, Raffoul R, Messika-Zeitoun D et al (2009) Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg 88:90–94PubMedCrossRef
10.
go back to reference Pasic M, Buz S, Dreysse S, Drews T, Unbehaun A, Klein C et al (2010) Transapical aortic valve implantation in 194 patients: problems, complications, and solutions. Ann Thorac Surg 90:1463–1469; discussion 1469–1470PubMedCrossRef Pasic M, Buz S, Dreysse S, Drews T, Unbehaun A, Klein C et al (2010) Transapical aortic valve implantation in 194 patients: problems, complications, and solutions. Ann Thorac Surg 90:1463–1469; discussion 1469–1470PubMedCrossRef
11.
go back to reference Nietlispach F, Eckstein F, Seeberger M, Osswald S, Kaufmann BA et al (2012) Closure of apical access site after transapical transcatheter paravalvular leak closure. Can J Cardiol 28(4):516.e5–516.e7CrossRef Nietlispach F, Eckstein F, Seeberger M, Osswald S, Kaufmann BA et al (2012) Closure of apical access site after transapical transcatheter paravalvular leak closure. Can J Cardiol 28(4):516.e5–516.e7CrossRef
12.
go back to reference Elhenawy A, Rocha R, Feindel CM, Brister SJ (2011) Persistent left ventricular false aneurysm after transapical insertion of an aortic valve. J Card Surg 26:51–53PubMedCrossRef Elhenawy A, Rocha R, Feindel CM, Brister SJ (2011) Persistent left ventricular false aneurysm after transapical insertion of an aortic valve. J Card Surg 26:51–53PubMedCrossRef
13.
go back to reference Kammler J, Steinwender C, Leisch F (2011) False left ventricular apical aneurysm—a rare complication after transapical aortic valve replacement. J Invasive Cardiol 23:534–535PubMed Kammler J, Steinwender C, Leisch F (2011) False left ventricular apical aneurysm—a rare complication after transapical aortic valve replacement. J Invasive Cardiol 23:534–535PubMed
14.
go back to reference Vanezis AP, Baig MK, Mitchel IM, Shajar M, Naik SK et al (2011) Pseudoaneurysm of the left ventricle following apical approach TAVI. J Cardiovasc Magn Reson 13(1):79PubMedCrossRef Vanezis AP, Baig MK, Mitchel IM, Shajar M, Naik SK et al (2011) Pseudoaneurysm of the left ventricle following apical approach TAVI. J Cardiovasc Magn Reson 13(1):79PubMedCrossRef
15.
go back to reference Al-Attar N, Ghodbane W, Himbert D, Rau C, Raffoul R, Messika-Zeitoun D et al (2009) Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg 88:90–94PubMedCrossRef Al-Attar N, Ghodbane W, Himbert D, Rau C, Raffoul R, Messika-Zeitoun D et al (2009) Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg 88:90–94PubMedCrossRef
16.
go back to reference Yuriy Dudiy MD, Jelnin V, Einhorn BN, Kronzon I, Cohen HA, Ruiz CE (2011) Percutaneous closure of left ventricular pseudoaneurysm. Circ Cardiovasc Interv 4:322–326PubMedCrossRef Yuriy Dudiy MD, Jelnin V, Einhorn BN, Kronzon I, Cohen HA, Ruiz CE (2011) Percutaneous closure of left ventricular pseudoaneurysm. Circ Cardiovasc Interv 4:322–326PubMedCrossRef
17.
go back to reference Elshershari H, Gossett JG, Hijazi ZM (2008) Percutaneous closure of left ventricular pseudoaneurysms after Ross procedure. Ann Thorac Surg 85:634–636PubMedCrossRef Elshershari H, Gossett JG, Hijazi ZM (2008) Percutaneous closure of left ventricular pseudoaneurysms after Ross procedure. Ann Thorac Surg 85:634–636PubMedCrossRef
18.
go back to reference Vignati G, Bruschi G, Mauri L, Annoni G, Frigerio M, Martinelli L et al (2009) Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm. Ann Thorac Surg 88:e31–e33PubMedCrossRef Vignati G, Bruschi G, Mauri L, Annoni G, Frigerio M, Martinelli L et al (2009) Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm. Ann Thorac Surg 88:e31–e33PubMedCrossRef
19.
go back to reference Odle TG (2011) Managing transition to a hybrid operating room. Radiol Technol 83(2):165CI–181CIPubMed Odle TG (2011) Managing transition to a hybrid operating room. Radiol Technol 83(2):165CI–181CIPubMed
Metadata
Title
Endovascular Treatment of Two Pseudoaneurysms Originating From the Left Ventricle
Authors
Wojciech Cwikiel
Inger Keussen
Ronny Gustafsson
Arash Mokhtari
Publication date
01-12-2013
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-012-0540-8

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