Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm.

Full Abstract

A 67-year-old man with ischemic cardiomyopathy was transferred to our hospital in cardiogenic. During a video-assisted mini-thoracotomy for left ventricular epicardial lead implantation, a left ventricular free-wall rupture occurred and an emergency surgical repair was performed. Postoperatively patients experience left ventricular wall pseudoaneurysm. After stabilization of clinical conditions with aggressive medical treatment, we decided to attempt a minimally invasive procedure (ie, a transcatheter pseudoaneurysm closure). To date, few cases of device closure of left ventricle pseudoaneurysm are reported in the literature, usually secondary to myocardial infarction, and we believe this is the first case of left ventricle pseudoaneurysm after iatrogenic left ventricle laceration and surgical closure.

Author information

Author/s: Vignati, Gabriele (G); Bruschi, Giuseppe (G); Mauri, Luigi (L); Annoni, Giuseppe (G); Frigerio, Maria (M); Martinelli, Luigi (L); Klugmann, Silvio (S);

Affiliation: A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy.

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Annals of thoracic surgery (Ann Thorac Surg), published in Netherlands. (Language: eng)

Reference: 2009-Oct; vol 88 (issue 4) : pp e31-3

Dates: Created 2009/09/21; Completed 2009/10/08;

PMID: 19766773, status: MEDLINE (last retrieval date: 10/8/2009, IMS Date: )

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