Journal
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
Volume 88, Issue 3, Pages 479-485Publisher
WILEY-BLACKWELL
DOI: 10.1002/ccd.26157
Keywords
transcatheter valve implantation; aortic valve disease; percutaneous intervention; structural heart disease intervention
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Left ventricular (LV) apical pseudoaneurysm is a well known complication of myocardial infarction and open heart surgery procedures, and has more recently been described after transapical transcatheter aortic valve replacement (TAVR). Since the natural history includes a high incidence of cardiac rupture and mortality in the 30-45% range within the first year after diagnosis, surgical repair has been the main therapy. More recently, LV pseudoaneurysms have been closed using percutaneous methods. We describe a post-TAVR pseudoaneurysm for which closure was done via retrograde LV access using a vascular plug, and provide a review of recent literature on closure methods and outcomes. (C) 2015 Wiley Periodicals, Inc.
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