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Transcatheter closure of a large left ventricular pseudoaneurysm using an Amplatzer Vascular Plug 4 and stenting of the inferior caval vein in a child

Published online by Cambridge University Press:  11 July 2011

Osman Baspinar*
Affiliation:
Medical Faculty, Department of Pediatric Cardiology, Gaziantep University, Gaziantep, Turkey
Ahmet Mete
Affiliation:
Medical Faculty, Department of Radiology, Gaziantep University, Gaziantep, Turkey
Vedat Davutoglu
Affiliation:
Medical Faculty, Department of Adult Cardiology, Gaziantep University, Gaziantep, Turkey
*
Correspondence to: Dr O. Baspinar, Medical Faculty, Department of Pediatric Cardiology, Gaziantep University, 27310 Gaziantep, Turkey. Tel: +90 532 345 54 77; Fax: +90 342 360 39 28; E-mail: osmanbaspinar@hotmail.com

Abstract

Left ventricular pseudoaneurysm is especially rare in childhood, and its main treatment option should be surgery. We describe the case of a 9.5-year-old boy who first underwent mitral vegetation excision and then an unsuccessful pseudoaneurysm operation. Owing to pseudoaneurysmal sac dimensions, inferior caval vein syndrome developed. We delivered the Amplatzer Vascular Plug 4 into the pseudoaneurysm and treated the inferior caval vein syndrome with a bare Cheatham–Platinum stent. The patient was asymptomatic at the last follow-up.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1. Frances, C, Romero, A, Grady, D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998; 32: 557561.CrossRefGoogle ScholarPubMed
2. Brown, SL, Gropler, RJ, Harris, KM. Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature. Chest 1997; 111: 14031409.CrossRefGoogle ScholarPubMed
3. Graupner, C, Vilacosta, I, SanRoman, J, et al. Periannular extension of infective endocarditis. J Am Coll Cardiol 2002; 39: 12041211.CrossRefGoogle ScholarPubMed
4. Clift, P, Thorne, S, de Giovanni, J. Percutaneous device closure of a pseudoaneurysm of the left ventricular wall. Heart 2004; 90: e62.CrossRefGoogle ScholarPubMed
5. Gladding, PA, Ruygrok, PN, Greaves, SC, Gerber, IL, Hamer, AW. Images in cardiovascular medicine. Percutaneous closure of a left ventricular free-wall rupture site. Circulation 2006; 113: e748e749.CrossRefGoogle ScholarPubMed
6. Elshershari, H, Gossett, JG, Hijazi, ZM. Percutaneous closure of left ventricular pseudoaneurysms after Ross procedure. Ann Thorac Surg 2008; 85: 634636.CrossRefGoogle ScholarPubMed
7. Vignati, G, Bruschi, G, Mauri, L, et al. Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm. Ann Thorac Surg 2009; 88: e31e33.CrossRefGoogle ScholarPubMed
8. Breinholt, JP, Rodefeld, MD, Hoyer, MH. Successful embolization of a left ventricular pseudoaneurysm after perventricular ventricular septal defect device closure. Catheter Cardiovasc Interv 2009; 74: 624626.CrossRefGoogle ScholarPubMed