Key result
Transapical percutaneous closure utilizing an Amplatz Vascular Plug-II with 3D prototyping was successfully performed for a rapidly expanding post-surgical LVOT pseudoaneurysm.
Why the study?
Left ventricular pseudoaneurysm is an infrequent but potentially fatal post-cardiac surgery complication, and surgical repair carries significant morbidity and mortality.
Case Report (n=1)
Demonstrates the feasibility of transapical percutaneous closure using an Amplatz Vascular Plug-II and 3D prototyping for a high-risk post-surgical LVOT pseudoaneurysm.
May offer a transapical option for select LVOT pseudoaneurysms; leaves open safety, durability, and generalizability.
Left ventricular pseudoaneurysm is an infrequent but potentially fatal complication following cardiac surgery, with spontaneous rupture being the most feared result. Moreover, surgical repair is associated with significant morbidity and mortality. We present a successful transapical percutaneous closure of a post-surgical rapidly expanding left ventricular outflow tract (LVOT) pseudoaneurysm utilizing Amplatz Vascular Plug-II (AVP-II) (St. Jude Medical, St. Paul, MN) with the aid of 3D prototyping for pre-procedural planning.
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Al‐Hijji et al. (2019) conducted a case report in Post-surgical rapidly expanding left ventricular outflow tract (LVOT) pseudoaneurysm (n=1). Transapical percutaneous closure utilizing Amplatz Vascular Plug-II (AVP-II) with 3D prototyping was evaluated on Successful closure. Transapical percutaneous closure utilizing an Amplatz Vascular Plug-II with 3D prototyping was successfully performed for a rapidly expanding post-surgical LVOT pseudoaneurysm.
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