Transapical Transcatheter Closure of the Pseudoaneurysm in the Left Ventricular Outflow Tract After Aortic Valve Replacement

Katada, Yoshiaki; Ito, Joji; Shibayama, Kentaro; Nakatsuka, Daisuke; Kawano, Yumeko; Watanabe, Hiroyuki; Tabata, Minoru

doi:10.1016/j.jcin.2016.06.021

Cited by 9 publications

(10 citation statements)

References 2 publications

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“…Although surgical repair of pseudoaneurysms following aortic surgery can be safely performed with good long‐term outcomes, these procedures can result in increased morbidity and mortality in high risk patients . Improved transcatheter devices can now be successfully inserted to occlude recurrent pseudoaneurysms using both transapical and transfemoral approaches . However, the long‐term durability of these devices is uncertain and there is the potential risk for recurrence of pseudoaneurysms which have been reported for up to 15 years after a transcatheter repair …”

Section: Discussionmentioning

confidence: 99%

“…9 Improved transcatheter devices can now be successfully inserted to occlude recurrent pseudoaneurysms using both transapical and transfemoral approaches. 10,11 However, the long-term durability of these devices is uncertain and there is the potential risk for recurrence of pseudoaneurysms which have been reported for up to 15 years after a transcatheter repair. 7,11 In our patient, the erosion of the aortic wall adjacent to the plug was the most likely cause for the recurrent pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent aortic root pseudoaneurysm after transcatheter occlusion-A word of caution

Hibino¹,

Katada

Shibayama³

et al. 2018

J Card Surg

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A 48-year-old male developed a recurrent aortic-root pseudoaneurysm after surgical repair for acute dissection. Although the initial closure of the pseudoaneurysm was successfully managed by transcatheter endovascular occlusion and coiling utilizing a hybrid transapical and transfemoral approach, the pseudoaneurysm was recanalized after 3 months and a third-time surgical repair was required. The potential risk for recurrence of pseudoaneurysms should be considered when applying endovascular occlusion devices to treat aortic root anatomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recurrent aortic root pseudoaneurysm after transcatheter occlusion-A word of caution

Hibino¹,

Katada

Shibayama³

et al. 2018

J Card Surg

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“…Although less invasive techniques have emerged in recent years allowing the closure of postoperative pseudoaneurysms, surgery remains the technique of choice in these patients, allowing complete resection with moderate postoperative risk (8)(9)(10). Despite the problems described with the Cabrol technique, it is a good solution in this type of patients in whom the direct re-implantation of the coronary arteries is hampered by the stiffness of the tissues (11,12).…”

Section: Discussionmentioning

confidence: 99%

Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

et al. 2017

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Patients with pseudoaneurysm in the left ventricular outflow tract (LVOT) commonly present vague and nonspecific symptoms making the diagnosis difficult. We present the case of a 37-year-old patient with two subvalvular pseudoaneurysms in whom a combined resection surgery, enlargement of the LVOT, aortic valve replacement (AVR) and aortic root replacement were performed using the technique of Cabrol.

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“…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%

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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Transapical Transcatheter Closure of the Pseudoaneurysm in the Left Ventricular Outflow Tract After Aortic Valve Replacement

Cited by 9 publications

References 2 publications

Recurrent aortic root pseudoaneurysm after transcatheter occlusion-A word of caution

Recurrent aortic root pseudoaneurysm after transcatheter occlusion-A word of caution

Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

Percutaneous closure of left ventricular pseudoaneurysm

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