A Novel Interventional Approach to LV Pseudoaneurysm Compressing on LAD by Utilizing LAA Closure Device

Michael Khorsandi; Hassan Khan; Gerald Colern; Rosemary Hansen; Soraya Arzhan; Hashmat Ashraf; Lawrence D Jacobs; Scott M Katzen; Adnan H Siddiqui; Vijay Iyer

doi:10.1016/j.jaccas.2022.10.015

A Novel Interventional Approach to LV Pseudoaneurysm Compressing on LAD by Utilizing LAA Closure Device

JACC Case Rep. 2022 Nov 23;4(24):101683. doi: 10.1016/j.jaccas.2022.10.015. eCollection 2022 Dec 21.

Authors

Affiliations

¹ Division of Cardiology, Department of Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, Maryland, USA.
² Division of Cardiology, Department of Internal Medicine, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, Gates Vascular Institute, Buffalo, New York, USA.
³ Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, Illinois, USA.
⁴ Department of Cardiothoracic Surgery at Kaleida Health, Buffalo General Hospital, Children's Hospital of Buffalo, Buffalo, New York, USA.
⁵ Department of Neurosurgery, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.

Abstract

We describe the novel transcatheter approach, with off-label application of LAA closure device, coiling, and concurrent left anterior descending stenting in the setting of left ventricular (LV) pseudoaneurysm. This case underlines collaboration among interventional cardiology, cardiothoracic, and neurosurgery teams in a challenging, nonsurgical candidate with high risk of LV pseudoaneurysm rupture, and death. (Level of Difficulty: Advanced.).

Keywords: 3-dimensional imaging; LAA, left atrial appendage; LAD, left anterior descending; LV, left ventricle/ventricular; SAVR, surgical aortic valve replacement; TEE, transesophageal echocardiogram; aortic valve; coronary angiography; echocardiography; occluder; valve replacement.

Publication types

Case Reports