Percutaneous device closure of ‘left ventricular pseudoaneurysm’ following coronary artery bypass graft surgery

Mishra, Anil; Mondal, Subhendu; Kapoor, Lalit; Bharati, Saswata

doi:10.1016/j.ihjccr.2018.03.001

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…Congenital heart defect repair (Ross procedure [24], ventricular septal defect (Swiss-cheese) repair [66] [7,31,35,36,41,43,51,52], and the remaining 42 (80.8%) patients had 59 symptoms, with chest pain and dyspnoea/shortness of breath being the most common (Table II). The ejection fraction of the patients was 31.6 ±13.9% (range: 16-55%; median: 25%) (n = 7) [15,36,42,45,53,55,68].…”

Section: Resultsmentioning

confidence: 99%

“…The 66 recruited articles included 1 (1.5%) retrospective study [ 22 ], 4 (6.1%) case series [ 36 , 48 , 52 , 65 ], 43 (65.2%) case reports [ 5 , 7 , 9 – 11 , 13 , 14 , 17 – 21 , 24 , 25 , 27 – 32 , 34 , 35 , 38 – 40 , 42 , 43 , 45 – 47 , 49 – 51 , 54 , 55 , 58 , 60 , 62 , 63 , 66 – 68 , 71 ], 14 (21.2%) medical images [ 12 , 15 , 16 , 23 , 26 , 33 , 41 , 44 , 53 , 56 , 59 , 61 , 69 , 70 ], and 4 (6.1%) proceeding abstracts/posters [ 8 , 37 , 57 , 64 ]. There were a total of 93 patients, including 58 (63.0%) male and 34 (37.0%) female (χ 2 = 12.5, p = 0.001), with a male-to-female ratio of 1.7 : 1 (gender of 1 patient was unknown).…”

Section: Resultsmentioning

confidence: 99%

“…Effects of percutaneous closure for LVPA cavity were reported as follows: complete exclusion of the LVPA (n = 8) [7,12,15,28,33,44,45,50], complete thrombosis of LVPA with no residual flow (n = 7) [11,26,34,41,46,55,61], contraction of the pseudoaneurysm (n = 1)…”

Section: (19)mentioning

confidence: 99%

“…CABG ± left ventricular aneurysmectomy/ventricular septal rupture repair[8,9,17,19,45,65,69] 47(45.2) Valve operation ± CABG/aorta operation[5, 11, 14, …”

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confidence: 99%

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Percutaneous closure of left ventricular pseudoaneurysm

Yuan¹

2022

pwki

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The aim of the present study is to describe the indications, treatment effects, and patient outcomes of percutaneous management of left ventricular pseudoaneurysm (LVPA). The study materials were based on comprehensive literature retrieval since 2004. The mechanisms of LVPA formation can be divided into surgical, percutaneous, and medial disease related. Of the surgical mechanisms, coronary artery bypass grafting prevailed. The formation time was the longest in medical disease-related LVPAs up to 44.4 months. The percutaneous procedures succeeded on the first try in 79 (84.9%) patients, whereas failures were encountered during the percutaneous manoeuvres in 14 (15.1%) patients. Percutaneous closure of LVPA was especially indicated for patients carrying a high surgical risk. The iatrogenic traumas, such as left ventricular venting, should be avoided to prevent this complication. The preliminary cut-off valves of oversize 3.3 mm and oversize ratio 1.6 should be followed for reference for device choice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: (19)mentioning

confidence: 99%

“…CABG ± left ventricular aneurysmectomy/ventricular septal rupture repair[8,9,17,19,45,65,69] 47(45.2) Valve operation ± CABG/aorta operation[5, 11, 14, …”

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confidence: 99%

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Percutaneous closure of left ventricular pseudoaneurysm

Yuan¹

2022

pwki

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“… 16 In high-risk surgery patients and those requiring a redo cardiovascular surgery, percutaneous device closure of LVPs is preferable. 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management

Inayat

Ghani

Riaz

et al. 2018

Journal of Investigative Medicine High Impact Case Reports

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Left ventricular pseudoaneurysm is a rare but life-threatening disorder that is frequently reported secondary to myocardial infarction or cardiac surgery. In this article, we chronicle the case of a patient with no prior risk factors who presented with a 2-week history of nonexertional atypical left chest pain. Apical 2-chamber transthoracic echocardiography revealed an unexpected outpouching of basal inferoseptal wall of the left ventricle, which had a narrow neck and relatively wide apex. The patient was diagnosed with left ventricular pseudoaneurysm and medical therapy was initiated. He refused to undergo the surgical intervention and subsequently, he was discharged from the hospital in stable condition. This article illustrates that physicians should be vigilant for atypical presentations of left ventricular pseudoaneurysm, and a high index of suspicion should be maintained for this stealth killer while performing appropriate diagnostic imaging. Additionally, we review the currently available approaches to diagnosis and management in these patients.

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Anterior basal left ventricular pseudoaneurysm in a single vessel disease

et al. 2023

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Introduction Left ventricular pseudoaneurysm is a rare but serious clinicopathologic entity. Materials and results This article describes a case report of 51-year-old man who experienced recurrence of chest pain and dyspnea 4 months later after anterior ST elevation myocardial infarction of first diagonal branch. Anterior basal left ventricular pseudoaneurysm was diagnosed and successful surgical treatment was performed. One year after operation, patient has no cardiovascular events and remains in NYHA class II. Conclusion Cardiac magnetic resonance should be performed, if there is a suspicion of left ventricular pseudoaneurysm from transthoracic echocardiography. Surgery is the treatment of choice in case of left ventricular pseudoaneuryms because untreated lesions carry a significantly high risk of rupture.

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Percutaneous device closure of ‘left ventricular pseudoaneurysm’ following coronary artery bypass graft surgery

Cited by 4 publications

References 7 publications

Percutaneous closure of left ventricular pseudoaneurysm

Percutaneous closure of left ventricular pseudoaneurysm

Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management

Anterior basal left ventricular pseudoaneurysm in a single vessel disease

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