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Ann Thorac Surg 2009;88:e31-e33. doi:10.1016/j.athoracsur.2009.07.032
© 2009 The Society of Thoracic Surgeons
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Giuseppe Bruschi
Luigi Martinelli
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Case Reports

Percutaneous Device Closure of Iatrogenic Left Ventricular Wall Pseudoaneurysm

Gabriele Vignati, MD, Giuseppe Bruschi, MD*, Luigi Mauri, MD, Giuseppe Annoni, MD, Maria Frigerio, MD, Luigi Martinelli, MD, Silvio Klugmann, MD

A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy

Accepted for publication July 2, 2009.

* Address correspondence to Dr Bruschi, A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Piazza Ospedale Maggiore, 3, Milan, 20162, Italy (Email: giuseppe.bruschi{at}fastwebnet.it).

A 67-year-old man with ischemic cardiomyopathy was transferred to our hospital in cardiogenic. During a video-assisted mini-thoracotomy for left ventricular epicardial lead implantation, a left ventricular free-wall rupture occurred and an emergency surgical repair was performed. Postoperatively patients experience left ventricular wall pseudoaneurysm. After stabilization of clinical conditions with aggressive medical treatment, we decided to attempt a minimally invasive procedure (ie, a transcatheter pseudoaneurysm closure). To date, few cases of device closure of left ventricle pseudoaneurysm are reported in the literature, usually secondary to myocardial infarction, and we believe this is the first case of left ventricle pseudoaneurysm after iatrogenic left ventricle laceration and surgical closure.






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