Transcatheter Closure of Left Ventricular Pseudoaneurysm After Mitral Valve Replacement

Arnaz, Ahmet; Akansel, Serdar; Yalçınbaş, Yusuf Kenan; Saygılı, Arda; Sarıoğlu, Tayyar

doi:10.1016/j.athoracsur.2019.12.019

Cited by 4 publications

(7 citation statements)

References 7 publications

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“…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%

“…LVPA growing within a short time was observed in 9 patients, accounting for 9.7% of the entire patient cohort. The observational period for LVPA growth was 3.5 ±1.5 (range: 2–6; median 3.5) weeks ( n = 5) [ 5 , 20 , 24 , 63 , 66 , 71 ]. The growth speed of LVPA was 15.0 ±2.6 (range: 12–16.5; median: 16.4) mm/week ( n = 3) [ 5 , 66 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…The observational period for LVPA growth was 3.5 ±1.5 (range: 2–6; median 3.5) weeks ( n = 5) [ 5 , 20 , 24 , 63 , 66 , 71 ]. The growth speed of LVPA was 15.0 ±2.6 (range: 12–16.5; median: 16.4) mm/week ( n = 3) [ 5 , 66 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Amplatz Vascular Plug II [9, 11, Advances in Interventional Cardiology 2022; 18, 2 (68) [69], partial thrombosis of LVPA (n = 1) [7], no blood communication to LVPA by thrombin injection [51,37], large LVPA sacs filled with embolisation coils (n = 3) [37], LVPV reduced in diameter [6], and LVPA persistent but not increasing in size and partially thrombosed [39]. Minimal residual flow immediate after closure could be observed in 13 patients [5,20,29,39,43,48,49,54,57,60,65,68,71], and on day 2 in 2 patients [66,67]. No flow was observed 41 patients 16.7 ±37.8 (range: 0-180; median: 0) days after closure [5, 7, 9, 13, 14, 16-22, 24-29, 31, 33, 38, 41-44, 46-49, 51, 55-58, 60, 61, 65, 66, 68, 70].…”

Section: Percutaneous Approach N (%)mentioning

confidence: 99%

“…The treatment of LVPA is challenging. Open surgery is the first-line treatment of choice [ 5 ]. However, Sakai et al [ 6 ] reported that 7 patients with LVPA formation after mitral valve replacement were not associated with complication during conservative treatment.…”

Section: Introductionmentioning

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: Resultsmentioning

confidence: 99%

Section: Percutaneous Approach N (%)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Percutaneous closure of left ventricular pseudoaneurysm

Yuan¹

2022

pwki

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Percutaneous Closure of Post-infarct Left Ventricular Pseudoaneurysm: A Review of Literature

Naguib¹,

Elsayed²,

Khouzam³

et al. 2023

Current Problems in Cardiology

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Transatrial repair of a giant left ventricular pseudoaneurysm and ischaemic mitral regurgitation after myocardial infarction: case report

Monden,

Une,

Furuta

et al. 2024

European Heart Journal - Case Reports

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Background Left ventricular pseudoaneurysm (LVPA) is an infrequent but highly lethal complication of myocardial infarction. Early surgical repair with resection of pseudoaneurysm is often performed, given that medical therapy alone is associated with a high risk of mortality. This report describes a case of giant LVPA on the lateral wall post-infarction and mitral valve regurgitation that was successfully treated by surgical transatrial closure and mitral valve replacement. Case summary A 77-year-old man with chronic kidney disease and a history of percutaneous coronary interventions for acute myocardial infarction was referred to the cardiac surgeons because of spontaneous finding of an abnormal mass adjacent to the heart on imaging studies, which was missed on a chest radiograph obtained 3 months earlier. Cardiac studies revealed LVPA and severe mitral regurgitation with poor ejection fraction. Early repair of LVPA and concurrent mitral valve surgery were recommended. Transatrial patch closure and mitral valve replacement were performed using an interatrial approach via median sternotomy. Although the patient’s postoperative course was complicated by congestive heart failure and irreversible renal failure, he was discharged with good functional status after one month of on intermittent renal replacement therapy with haemodialysis. Discussion Transatrial repair for LVPA and concurrent mitral valve replacement can be a treatment of choice for reduction of surgical trauma to the left ventricle and protects the sealing structure from rupture.

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Transcatheter Closure of Left Ventricular Pseudoaneurysm After Mitral Valve Replacement

Cited by 4 publications

References 7 publications

Percutaneous closure of left ventricular pseudoaneurysm

Percutaneous closure of left ventricular pseudoaneurysm

Percutaneous Closure of Post-infarct Left Ventricular Pseudoaneurysm: A Review of Literature

Transatrial repair of a giant left ventricular pseudoaneurysm and ischaemic mitral regurgitation after myocardial infarction: case report

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