Percutaneous closure of left ventricular pseudoaneurysm in a patient with concomitant true left ventricular aneurysm
Background Left ventricular aneurysms (LVA) are serious complications of myocardial infarction, being divided into true and false type. The false one—pseudoaneurysm (PA), is a life‐threatening condition that requires urgent treatment due to the high risk of rupture. Case Presentation An 84‐year‐old...
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| Veröffentlicht in: | Journal of cardiac surgery 2021-06, Vol.36 (6), p.2113-2116 |
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| container_title | Journal of cardiac surgery |
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| creator | Cavalcanti, Luiz Rafael P. Sá, Michel Pompeu B. O. Escorel Neto, Antônio C. Holz, Bruno S. Nunes Filho, Elióbas O. Gaia, Diego F. Soares, Alexandre Magno M. N. Lima, Ricardo C. |
| description | Background
Left ventricular aneurysms (LVA) are serious complications of myocardial infarction, being divided into true and false type. The false one—pseudoaneurysm (PA), is a life‐threatening condition that requires urgent treatment due to the high risk of rupture.
Case Presentation
An 84‐year‐old female presented with progressive heart failure symptoms. Investigation showed a small true LVA and a large PA. Open surgical repair was ruled out as Euroscore and Society of Thoracic Surgeons (STS) score were 42.80% and 39.97%, respectively. After discussion at our Heart Team meeting, percutaneous approach was found to be the best option. Guided by transesophageal echocardiography, we used an interventricular septal defect occluder to close the gap between the LV and the PA. Control ventriculography showed full closure of the gap, with no residual flow to the PA cavity. The patient was discharged from the hospital on the fifth postoperative day and has remained asymptomatic since then.
Conclusion
Percutaneous approach proved to be a safe and effective modality to treat LV PA. The device implanted achieved the goal of blocking blood flow through the communication between LV and the PA. |
| doi_str_mv | 10.1111/jocs.15407 |
| format | Article |
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Left ventricular aneurysms (LVA) are serious complications of myocardial infarction, being divided into true and false type. The false one—pseudoaneurysm (PA), is a life‐threatening condition that requires urgent treatment due to the high risk of rupture.
Case Presentation
An 84‐year‐old female presented with progressive heart failure symptoms. Investigation showed a small true LVA and a large PA. Open surgical repair was ruled out as Euroscore and Society of Thoracic Surgeons (STS) score were 42.80% and 39.97%, respectively. After discussion at our Heart Team meeting, percutaneous approach was found to be the best option. Guided by transesophageal echocardiography, we used an interventricular septal defect occluder to close the gap between the LV and the PA. Control ventriculography showed full closure of the gap, with no residual flow to the PA cavity. The patient was discharged from the hospital on the fifth postoperative day and has remained asymptomatic since then.
Conclusion
Percutaneous approach proved to be a safe and effective modality to treat LV PA. The device implanted achieved the goal of blocking blood flow through the communication between LV and the PA.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.15407</identifier><identifier>PMID: 33547669</identifier><language>eng</language><publisher>United States</publisher><subject>Aged, 80 and over ; aneurysm ; Aneurysm, False - complications ; Aneurysm, False - diagnostic imaging ; Aneurysm, False - surgery ; Cardiac Catheterization ; Female ; Heart Aneurysm - complications ; Heart Aneurysm - diagnostic imaging ; Heart Aneurysm - surgery ; Heart Septal Defects, Ventricular ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - surgery ; Humans ; left ventricle ; occluder ; percutaneous ; pseudoaneurysm ; Septal Occluder Device ; transcatheter ; Treatment Outcome</subject><ispartof>Journal of cardiac surgery, 2021-06, Vol.36 (6), p.2113-2116</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3327-a2324c2fce6cf01dda0dc3c3a84b8ccfbd754f20b7cb5a0678690330140328073</citedby><cites>FETCH-LOGICAL-c3327-a2324c2fce6cf01dda0dc3c3a84b8ccfbd754f20b7cb5a0678690330140328073</cites><orcidid>0000-0002-5407-4553 ; 0000-0001-5356-2996 ; 0000-0002-1369-0296</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.15407$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.15407$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33547669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cavalcanti, Luiz Rafael P.</creatorcontrib><creatorcontrib>Sá, Michel Pompeu B. O.</creatorcontrib><creatorcontrib>Escorel Neto, Antônio C.</creatorcontrib><creatorcontrib>Holz, Bruno S.</creatorcontrib><creatorcontrib>Nunes Filho, Elióbas O.</creatorcontrib><creatorcontrib>Gaia, Diego F.</creatorcontrib><creatorcontrib>Soares, Alexandre Magno M. N.</creatorcontrib><creatorcontrib>Lima, Ricardo C.</creatorcontrib><title>Percutaneous closure of left ventricular pseudoaneurysm in a patient with concomitant true left ventricular aneurysm</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>Background
Left ventricular aneurysms (LVA) are serious complications of myocardial infarction, being divided into true and false type. The false one—pseudoaneurysm (PA), is a life‐threatening condition that requires urgent treatment due to the high risk of rupture.
Case Presentation
An 84‐year‐old female presented with progressive heart failure symptoms. Investigation showed a small true LVA and a large PA. Open surgical repair was ruled out as Euroscore and Society of Thoracic Surgeons (STS) score were 42.80% and 39.97%, respectively. After discussion at our Heart Team meeting, percutaneous approach was found to be the best option. Guided by transesophageal echocardiography, we used an interventricular septal defect occluder to close the gap between the LV and the PA. Control ventriculography showed full closure of the gap, with no residual flow to the PA cavity. The patient was discharged from the hospital on the fifth postoperative day and has remained asymptomatic since then.
Conclusion
Percutaneous approach proved to be a safe and effective modality to treat LV PA. The device implanted achieved the goal of blocking blood flow through the communication between LV and the PA.</description><subject>Aged, 80 and over</subject><subject>aneurysm</subject><subject>Aneurysm, False - complications</subject><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - surgery</subject><subject>Cardiac Catheterization</subject><subject>Female</subject><subject>Heart Aneurysm - complications</subject><subject>Heart Aneurysm - diagnostic imaging</subject><subject>Heart Aneurysm - surgery</subject><subject>Heart Septal Defects, Ventricular</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>left ventricle</subject><subject>occluder</subject><subject>percutaneous</subject><subject>pseudoaneurysm</subject><subject>Septal Occluder Device</subject><subject>transcatheter</subject><subject>Treatment Outcome</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AURgdRbK1u_AEyayH1Tmby6FKKTwoV1HWY3MxgSpIJ87D035sa60bwbr7NuWdxCLlkMGfD3WwMujlLBGRHZLrfKGcLdkymkOdpBELAhJw5twGIY8HhlEw4T0SWposp8S_KYvCyUyY4io1xwSpqNG2U9vRTdd7WGBppae9UqMwABrtzLa07KmkvfT0gdFv7D4qmQ9PWg8tTb4P6qzg8n5MTLRunLn52Rt7v796Wj9Fq_fC0vF1FyHmcRTLmscBYo0pRA6sqCRVy5DIXZY6oyypLhI6hzLBMJKRZni6Ac2ACeJxDxmfkevSiNc5ZpYve1q20u4JBsU9X7NMV3-kG-GqE-1C2qvpFD60GgI3Atm7U7h9V8bxevo7SLwpufPw</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Cavalcanti, Luiz Rafael P.</creator><creator>Sá, Michel Pompeu B. O.</creator><creator>Escorel Neto, Antônio C.</creator><creator>Holz, Bruno S.</creator><creator>Nunes Filho, Elióbas O.</creator><creator>Gaia, Diego F.</creator><creator>Soares, Alexandre Magno M. N.</creator><creator>Lima, Ricardo C.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-5407-4553</orcidid><orcidid>https://orcid.org/0000-0001-5356-2996</orcidid><orcidid>https://orcid.org/0000-0002-1369-0296</orcidid></search><sort><creationdate>202106</creationdate><title>Percutaneous closure of left ventricular pseudoaneurysm in a patient with concomitant true left ventricular aneurysm</title><author>Cavalcanti, Luiz Rafael P. ; Sá, Michel Pompeu B. O. ; Escorel Neto, Antônio C. ; Holz, Bruno S. ; Nunes Filho, Elióbas O. ; Gaia, Diego F. ; Soares, Alexandre Magno M. N. ; Lima, Ricardo C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3327-a2324c2fce6cf01dda0dc3c3a84b8ccfbd754f20b7cb5a0678690330140328073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged, 80 and over</topic><topic>aneurysm</topic><topic>Aneurysm, False - complications</topic><topic>Aneurysm, False - diagnostic imaging</topic><topic>Aneurysm, False - surgery</topic><topic>Cardiac Catheterization</topic><topic>Female</topic><topic>Heart Aneurysm - complications</topic><topic>Heart Aneurysm - diagnostic imaging</topic><topic>Heart Aneurysm - surgery</topic><topic>Heart Septal Defects, Ventricular</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>left ventricle</topic><topic>occluder</topic><topic>percutaneous</topic><topic>pseudoaneurysm</topic><topic>Septal Occluder Device</topic><topic>transcatheter</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cavalcanti, Luiz Rafael P.</creatorcontrib><creatorcontrib>Sá, Michel Pompeu B. O.</creatorcontrib><creatorcontrib>Escorel Neto, Antônio C.</creatorcontrib><creatorcontrib>Holz, Bruno S.</creatorcontrib><creatorcontrib>Nunes Filho, Elióbas O.</creatorcontrib><creatorcontrib>Gaia, Diego F.</creatorcontrib><creatorcontrib>Soares, Alexandre Magno M. N.</creatorcontrib><creatorcontrib>Lima, Ricardo C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cavalcanti, Luiz Rafael P.</au><au>Sá, Michel Pompeu B. O.</au><au>Escorel Neto, Antônio C.</au><au>Holz, Bruno S.</au><au>Nunes Filho, Elióbas O.</au><au>Gaia, Diego F.</au><au>Soares, Alexandre Magno M. N.</au><au>Lima, Ricardo C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous closure of left ventricular pseudoaneurysm in a patient with concomitant true left ventricular aneurysm</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2021-06</date><risdate>2021</risdate><volume>36</volume><issue>6</issue><spage>2113</spage><epage>2116</epage><pages>2113-2116</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>Background
Left ventricular aneurysms (LVA) are serious complications of myocardial infarction, being divided into true and false type. The false one—pseudoaneurysm (PA), is a life‐threatening condition that requires urgent treatment due to the high risk of rupture.
Case Presentation
An 84‐year‐old female presented with progressive heart failure symptoms. Investigation showed a small true LVA and a large PA. Open surgical repair was ruled out as Euroscore and Society of Thoracic Surgeons (STS) score were 42.80% and 39.97%, respectively. After discussion at our Heart Team meeting, percutaneous approach was found to be the best option. Guided by transesophageal echocardiography, we used an interventricular septal defect occluder to close the gap between the LV and the PA. Control ventriculography showed full closure of the gap, with no residual flow to the PA cavity. The patient was discharged from the hospital on the fifth postoperative day and has remained asymptomatic since then.
Conclusion
Percutaneous approach proved to be a safe and effective modality to treat LV PA. The device implanted achieved the goal of blocking blood flow through the communication between LV and the PA.</abstract><cop>United States</cop><pmid>33547669</pmid><doi>10.1111/jocs.15407</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0002-5407-4553</orcidid><orcidid>https://orcid.org/0000-0001-5356-2996</orcidid><orcidid>https://orcid.org/0000-0002-1369-0296</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over aneurysm Aneurysm, False - complications Aneurysm, False - diagnostic imaging Aneurysm, False - surgery Cardiac Catheterization Female Heart Aneurysm - complications Heart Aneurysm - diagnostic imaging Heart Aneurysm - surgery Heart Septal Defects, Ventricular Heart Ventricles - diagnostic imaging Heart Ventricles - surgery Humans left ventricle occluder percutaneous pseudoaneurysm Septal Occluder Device transcatheter Treatment Outcome |
| title | Percutaneous closure of left ventricular pseudoaneurysm in a patient with concomitant true left ventricular aneurysm |
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