Why the study?
Left ventricular pseudoaneurysm is a rare, life-threatening complication, and percutaneous options are needed when surgical repair is unavailable.
Demonstrates the feasibility of using a post-infarct VSD device guided by ICE and fluoroscopy for percutaneous closure of a left ventricular pseudoaneurysm in a patient without surgical options.
May offer percutaneous LVPA closure option in nonsurgical patients; leaves open need for prospective validation.
Left ventricular pseudoaneurysm (LVPA) is a rare, life-threatening complication that may arise after cardiac surgery, myocardial infarctions, or infective endocarditis. We present a case of a 55-year-old woman with complex surgical history and prior infective endocarditis who developed an incidental LVPA. Due to lack of surgical repair options, a percutaneous approach was pursued using a post-infarct ventricular septal defect device (PIVSD) under guidance of fluoroscopy and intracardiac echocardiography (ICE) guidance with successful exclusion of LVPA. This case highlights the utility of multimodal imaging in the percutaneous management of complex left ventricular lesions.
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Jafar et al. (2025) studied this question.
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