Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-19T03:00:14.839Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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