Transapical closure of a pseudoaneurysm of the mitral-aortic intervalvular fibrosa.

Autor: Babaliaros VC, Lerakis S, Thourani VH, Iturra S, Hartlage G, Shirazi F, Clements SD Jr
Jazyk: angličtina
Zdroj: Texas Heart Institute journal [Tex Heart Inst J] 2015 Jun 01; Vol. 42 (3), pp. 285-8. Date of Electronic Publication: 2015 Jun 01 (Print Publication: 2015).
DOI: 10.14503/THIJ-14-4156
Abstrakt: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare but serious sequela of endocarditis or valve replacement surgery. Because open-heart surgery is a high-risk treatment option, alternative methods are sought. We present the case of a 77-year-old man with a noninfected mechanical mitral valve whose pseudoaneurysm was repaired by introducing an occluder device into the defect by a transapical approach. Upon follow-up imaging, the defect was successfully closed. We conclude that percutaneous closure of pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a viable alternative to surgery and that a transapical approach is an appropriate method of access.
Databáze: MEDLINE