Percutaneous device closure of left ventricular free wall rupture site

Percutaneous device closure of left ventricular free wall rupture site - A new therapeutic option for the ruptured pseudoaneurysm
 
 
 
 
Introduction
 
• RK,35 M   
• K/C/O Apical HCM,1990.
• Atypical chest pain,2006. 
• NYHA-I.
 
Post-procedural follow up
 
• No procedural complication.
• The post-intervention period was uneventful and the patient was discharged on the next day. 
• Repeat angiogram one week later showed continued stable position of the device and complete exclusion of the pseudoaneurysm.
• At six months follow up, the patient is asymptomatic and in NYHA I class. 
 
Summary
 
• Pseudoaneurysm of the left ventricle with its risk for fatal rupture is a management challenge. Surgical repair carries a high operative mortality. 
• The first report in the literature of successful percutaneous device closure of a ruptured pseudoaneurysm of the LV. 
• As a new therapeutic option, the LV rupture site was closed non-surgically percutaneously with an Amplatzer muscular ventricular septal occluder device. 
• Our case describes the feasibility of percutaneous device closure of ruptured LV pseudoaneurysm in patients with suitable morphology.