Transcatheter Closure of Left Ventricular Apical Pseudoaneurysm with an Amplatzer Vascular Plug

Francesco Negri; Carlo Cernetti; Luca Favero; Giuseppe Minniti; Alessandro De Leo; Giovanna De Simone; Gianfranco Sinagra

doi:10.1016/j.carrev.2019.01.002

Transcatheter Closure of Left Ventricular Apical Pseudoaneurysm with an Amplatzer Vascular Plug

Cardiovasc Revasc Med. 2019 Nov;20(11):1033-1035. doi: 10.1016/j.carrev.2019.01.002. Epub 2019 Jan 6.

Authors

Francesco Negri¹, Carlo Cernetti², Luca Favero³, Giuseppe Minniti⁴, Alessandro De Leo³, Giovanna De Simone³, Gianfranco Sinagra⁵

Affiliations

¹ Cardiovascular Department, Cardiomyopathy Center, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy; Postgraduate School in Cardiovascular Diseases, University of Trieste, Italy. Electronic address: francesco_negri@yahoo.it.
² Cardiology Department, Ca' Foncello Hospital Azienda N 2 Marca Trevigiana, Treviso, Italy; Head of Cardio-Neuro-Vascular Department Ca' Foncello and San Giacomo Hospital Azienda N 2, Marca Trevigiana, Treviso, Italy.
³ Cardiology Department, Ca' Foncello Hospital Azienda N 2 Marca Trevigiana, Treviso, Italy.
⁴ Cardiosurgery Department, Ca' Foncello Hospital Azienda N 2 Marca Trevigiana, Treviso, Italy.
⁵ Cardiovascular Department, Cardiomyopathy Center, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy; Postgraduate School in Cardiovascular Diseases, University of Trieste, Italy.

PMID: 30655010
DOI: 10.1016/j.carrev.2019.01.002

Abstract

We report the case of a 66-year-old man, with a history of previous chest radiation therapy admitted to ED for heart failure. The patient was diagnosed with severe aortic stenosis and multivessel coronary disease and underwent surgical aortic valve replacement and coronary artery by pass grafts. Cardiac surgery was complicated by a left ventricular perforation by a venting catheter. The laceration was repaired with a Teflon patch apparently successful. Four months later, a CT scan performed for oncological follow-up demonstrated the complete detachment of the Teflon patch and the formation of a left ventricular pseudoaneurysm. The pseudoaneurysm was effectively treated percutaneously using an Amplatzer Vascular Plug 4.

Keywords: Amplatzer; CABG; Pseudoaneurysm; Radiation therapy.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm, False / diagnostic imaging
Aneurysm, False / etiology
Aneurysm, False / therapy*
Cardiac Catheterization / instrumentation*
Coronary Artery Bypass / adverse effects
Heart Aneurysm / diagnostic imaging
Heart Aneurysm / etiology
Heart Aneurysm / therapy*
Heart Valve Prosthesis Implantation / adverse effects
Humans
Male
Radiotherapy / adverse effects
Risk Factors
Treatment Outcome