Author + information
- Received February 19, 2009
- Accepted February 25, 2009
- Published online August 18, 2009.
A 57-year-old man presented with a type A aortic dissection, which was repaired surgically with replacement of the ascending aorta. Intraoperatively, active bleeding was observed due to perforation from a left ventricular vent, and this was repaired with Prolene sutures (Ethicon, a Johnson and Johnson Co., Somerville, New Jersey). A computed tomography scan of the chest, performed 1 month later, revealed a 2.3-cm pseudoaneurysm at the apex of the left ventricle. The pseudoaneurysm was further characterized by magnetic resonance imaging (A). The patient elected for a minimally invasive repair of the pseudoaneurysm. Left ventricular angiography demonstrated the pseudoaneurysm (B, Online Video 1). By using a retrograde approach through the aortic valve, we delivered 11 EV3 AXIUM detachable coils (EV3 Endovascular, Inc. Peripheral Vascular, Plymouth, Minnesota) into the pseudoaneurysm by using a multipurpose guide and Echelon microcatheter (EV3) (C, Online Video 2). Repeat left ventricular angiography revealed no flow into the pseudoaneurysm (D, Online Video 3). The patient was asymptomatic at last follow-up.
- Received February 19, 2009.
- Accepted February 25, 2009.
- American College of Cardiology Foundation