Work

Coil Embolization for Right Ventricular Pseudoaneurysm

Year: 2024

Type: article

Abstract: Background: Right ventricular pseudoaneurysms are extremely rare and there is no precise recommendation for their management. Case Summary: We present the case of a successful coil embolization of a right ventricular pseudoaneurysm in a woman with chronic kidney disease due to perinuclear antineutrophil cytoplasmic antibody vasculitis and a history of difficult placement of a hemodialysis catheter. Discussion: Ventricular pseudoaneurysm is a contained rupture of the ventricular wall that can occur due to several causes. Our case describes a right ventricular pseudoaneurysm after dialysis catheter placement in a patient with vasculitis. Optimal management strategies for pseudoaneurysms remain highly variable, but the primary goal is to reduce the incidence of cardiac rupture. Take-Home Message: The percutaneous exclusion of this type of lesion is an innovative technique that can be considered in high-risk surgical patients.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.102734