Percutaneous closure of post TAVR LV apical pseudoaneurysm

Left ventricular (LV) apical pseudoaneurysm is a well known complication of myocardial infarction and open heart surgery procedures, and has more recently been described after transapical transcatheter aortic valve replacement (TAVR). Since the natural history includes a high incidence of cardiac ru...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2016-09, Vol.88 (3), p.479-485
Main Authors: Feldman, Ted, Pearson, Paul, Smart, Steven S.
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
aortic valve disease
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - therapy
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Catheters
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Female
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - etiology
Heart Aneurysm - therapy
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Humans
Magnetic Resonance Imaging
percutaneous intervention
Severity of Illness Index
structural heart disease intervention
transcatheter valve implantation
Treatment Outcome
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Description
Summary:Left ventricular (LV) apical pseudoaneurysm is a well known complication of myocardial infarction and open heart surgery procedures, and has more recently been described after transapical transcatheter aortic valve replacement (TAVR). Since the natural history includes a high incidence of cardiac rupture and mortality in the 30–45% range within the first year after diagnosis, surgical repair has been the main therapy. More recently, LV pseudoaneurysms have been closed using percutaneous methods. We describe a post‐TAVR pseudoaneurysm for which closure was done via retrograde LV access using a vascular plug, and provide a review of recent literature on closure methods and outcomes. © 2015 Wiley Periodicals, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.26157