NDLI: Percutaneous closure of left ventricular pseudoaneurysm.

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Percutaneous closure of left ventricular pseudoaneurysm.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dudiy, Yuriy Jelnin, Vladimir Einhorn, Bryce N. Kronzon, Itzhak Cohen, Howard A. Ruiz, Carlos E.
Description	Country affiliation: United States Author Affiliation: Dudiy Y ( Lenox Hill Heart and Vascular Institute of New York, 130 East 77th St., New York, NY 10021-10075, USA.)
Abstract	BACKGROUND: Left ventricular pseudoaneurysm is a rare but serious complication from myocardial infarction and cardiac surgery. Although standard treatment is surgical intervention, percutaneous closure of left ventricular pseudoaneurysm has become an option for high-risk surgical candidates. Experience with percutaneous treatment is limited to a few single case reports. This is the first series of percutaneous treatment of the left ventricular pseudoaneurysms. METHODS AND RESULTS: This is a retrospective analysis of 9 procedures of percutaneous repair of left ventricular pseudoaneurysm in 7 consecutive patients (ages 51 to 83 years, 6 men) completed in our Structural Heart Disease center from June 2008 to December 2010. All patients were considered as a high risk for surgery because of multiple comorbidities. Multiple imaging modalities were used before, during, and after the procedures to improve success and efficacy. The left ventricular pseudoaneurysms of all 7 patients were successfully repaired. Fluoroscopy time on average was 36.5±24.0 minutes (range, 12.4 to 75.7 minutes). All patients were followed up for a period ranging from 3 to 32 months after the procedure. Each patient improved by at least 1 New York Heart Association functional class, and 4 patients improved by 2 classes. CONCLUSIONS: Transcatheter closure of the left ventricular pseudoaneurysm is a feasible alternative for high-risk surgical candidates. The use of multiple imaging modalities is required for a detail planning and execution of the procedure.
File Format	HTM / HTML
ISSN	19417640
e-ISSN	19417632
Journal	Circulation: Cardiovascular Interventions
Issue Number	4
Volume Number	4
Language	English
Publisher	American Heart Association
Publisher Date	2011-08-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cardiology Discipline Vascular Diseases Aneurysm, False Surgery Cardiac Catheterization Myocardial Infarction Postoperative Complications Ventricular Dysfunction, Left Wound Closure Techniques Administration, Cutaneous Diagnosis Etiology Physiopathology Diagnostic Imaging Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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