Work

Percutaneous closure of a left ventricular pseudoaneurysm using a post-infarct VSD Device guided by intracardiac echocardiography

Year: 2025

Type: article

Abstract: Left ventricular pseudoaneurysm (LVPA) is a rare, life-threatening complication that may arise after cardiac surgery, myocardial infarctions, or infective endocarditis. We present a case of a 55-year-old woman with complex surgical history and prior infective endocarditis who developed an incidental LVPA. Due to lack of surgical repair options, a percutaneous approach was pursued using a post-infarct ventricular septal defect device (PIVSD) under guidance of fluoroscopy and intracardiac echocardiography (ICE) guidance with successful exclusion of LVPA. This case highlights the utility of multimodal imaging in the percutaneous management of complex left ventricular lesions.

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2025.100120

Authors: Omar Jafar, Nicholas Valle, Rupinder Bahniwal, Matthew Summers

Institution: Sentara Heart Hospital

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $920