Lead extraction complicated by right ventricular pseudoaneurysm: Percutaneous closure with septal occluder device

Figures

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  Figure 1. Coronal reconstruction of computed tomographic scan prior to closure demonstrating right ventricular (RV) pseudoaneurysm emerging from the RV apex with a narrow neck, filling with contrast.

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  Figure 2. A: Fluoroscopic view of contrast filling right ventricular pseudoaneurysm. B: J-tip wire in place prior to deployment of ventricular septal occluder device.

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  Figure 3. Coronal reconstruction of computed tomographic scan 2 months post-closure demonstrating obliteration of right ventricular (RV) pseudoaneurysm with radiodense septal occluder device visualized at the RV apex, where the pseudoaneurysm neck was previously.

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  Supplemental Figure 1. Right ventricular defibrillator lead after extraction, illustrating avulsed myocardium at the distal end of the lead and externalized lead cable.

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  Supplemental Figure 2. Fluoroscopic view of ventricular septal occluder device successfully deployed in the neck of the pseudoaneurysm. Inset is stock photo of device. (courtesy Abbott).