Percutaneous Closure of Post-infarct Left Ventricular Pseudoaneurysm

Left ventricular pseudoaneurysm is a well-known complication of myocardial infarction and open-heart surgery and has recently been described as succeeding transapical transcatheter aortic valve replacement. While surgical intervention is the con-ventional therapeutic approach, transcatheter closure can be considered in patients at high risk for surgical procedures. In this article, we present a postmyocar-dial infarction pseudoaneurysm for which closure was done via retrograde left ventricular access using an Amplatzer Septal Occluder, and provide a review of recent literature focusing on indications and outcomes of the different percutaneous techniques and devices. Probl Cardiol

Automated summary

Left ventricular pseudoaneurysm is a known complication of myocardial infarction and open-heart surgery, and recently has been observed after transapical transcatheter aortic valve replacement. While surgery is the usual treatment approach, transcatheter closure can be considered for high-risk patients. This article presents a case of post-myocardial infarction pseudoaneurysm closed via retrograde left ventricular access using an Amplatzer Septal Occluder, and reviews recent literature on indications and outcomes of different percutaneous techniques and devices.