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.
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