Catheterization and Cardiovascular Interventions

Valvular and Structural Heart Diseases

Percutaneous closure of post TAVR LV apical pseudoaneurysm

Corresponding Author

Ted Feldman MD, FESC, FACC, MSCAI

[email protected]

NorthShore University HealthSystem, Evanston, Illinois

Correspondence to: Ted Feldman, MD, FESC, FACC, MSCAI, Evanston Hospital, Cardiology Division-Walgreen Building 3rd Floor, 2650 Ridge Ave., Evanston, IL 60201. E-mail: [email protected]Search for more papers by this author

Paul Pearson MD, PhD, FACC,

Paul Pearson MD, PhD, FACC

NorthShore University HealthSystem, Evanston, Illinois

Search for more papers by this author

Steven S. Smart MD, FACC,

Steven S. Smart MD, FACC

NorthShore University HealthSystem, Evanston, Illinois

Search for more papers by this author

Ted Feldman MD, FESC, FACC, MSCAI,

Corresponding Author

Ted Feldman MD, FESC, FACC, MSCAI

[email protected]

NorthShore University HealthSystem, Evanston, Illinois

Paul Pearson MD, PhD, FACC,

Paul Pearson MD, PhD, FACC

NorthShore University HealthSystem, Evanston, Illinois

Search for more papers by this author

Steven S. Smart MD, FACC,

Steven S. Smart MD, FACC

NorthShore University HealthSystem, Evanston, Illinois

Search for more papers by this author

First published: 13 August 2015

https://doi.org/10.1002/ccd.26157

Citations: 11

Conflict of interest: Dr. Feldman is a consultant to Abbott, Edwrads, BSC.

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Abstract

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.

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Volume88, Issue3

September 2016

Pages 479-485

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Percutaneous closure of post TAVR LV apical pseudoaneurysm

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Percutaneous closure of post TAVR LV apical pseudoaneurysm

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