2020
DOI: 10.1016/j.xjtc.2020.02.019
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Left ventricular injury: Beware the wire

Abstract: Computed tomography upon the patient's presentation to our institution reveals an LV pseudoaneurysm secondary to wire perforation after failed transcatheter mitral valve-in-valve.

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Cited by 5 publications
(8 citation statements)
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“…In 14 patients there were one or more associated disorders, which totalled 18 (Table IV). Concurrent procedures were performed in 10 (10.8%) patients: left ventricular apical puncture sealed with another occluder in 2 (25%) [18,62], coronary artery stenting in 2 (25%) [56,61], inferior vena cava stenting [14], a 2 nd 4-mm ASO deployed across the apical puncture [18], true aneurysm closure with a 10 mm Amplatzer Vascular Plug II [38], coronary artery thrombus aspiration and extracorporeal membrane oxygenation [53], transcatheter mitral valve implant with a 23-mm Edwards Sapien 3 [21], and onestage simultaneous endovascular repair for abdominal aortic aneurysm and LVPA [67] in 1 patient, each. The three-dimensional sizes of the LVPAs were 47.7 ±27.4 (range: 7-130; median: 40) mm (n = 61), 38.1 ±20.4 (range: 8.6-90; median: 34.5) mm (n = 50), and 30.7 ±18.4 (range: 10-90; median: 29.5) mm (n = 18).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…In 14 patients there were one or more associated disorders, which totalled 18 (Table IV). Concurrent procedures were performed in 10 (10.8%) patients: left ventricular apical puncture sealed with another occluder in 2 (25%) [18,62], coronary artery stenting in 2 (25%) [56,61], inferior vena cava stenting [14], a 2 nd 4-mm ASO deployed across the apical puncture [18], true aneurysm closure with a 10 mm Amplatzer Vascular Plug II [38], coronary artery thrombus aspiration and extracorporeal membrane oxygenation [53], transcatheter mitral valve implant with a 23-mm Edwards Sapien 3 [21], and onestage simultaneous endovascular repair for abdominal aortic aneurysm and LVPA [67] in 1 patient, each. The three-dimensional sizes of the LVPAs were 47.7 ±27.4 (range: 7-130; median: 40) mm (n = 61), 38.1 ±20.4 (range: 8.6-90; median: 34.5) mm (n = 50), and 30.7 ±18.4 (range: 10-90; median: 29.5) mm (n = 18).…”
Section: Resultsmentioning
confidence: 99%
“…The 66 recruited articles included 1 (1.5%) retrospective study [ 22 ], 4 (6.1%) case series [ 36 , 48 , 52 , 65 ], 43 (65.2%) case reports [ 5 , 7 , 9 – 11 , 13 , 14 , 17 21 , 24 , 25 , 27 – 32 , 34 , 35 , 38 – 40 , 42 , 43 , 45 47 , 49 51 , 54 , 55 , 58 , 60 , 62 , 63 , 66 68 , 71 ], 14 (21.2%) medical images [ 12 , 15 , 16 , 23 , 26 , 33 , 41 , 44 , 53 , 56 , 59 , 61 , 69 , 70 ], and 4 (6.1%) proceeding abstracts/posters [ 8 , 37 , 57 , 64 ]. There were a total of 93 patients, including 58 (63.0%) male and 34 (37.0%) female (χ 2 = 12.5, p = 0.001), with a male-to-female ratio of 1.7 : 1 (gender of 1 patient was unknown).…”
Section: Resultsmentioning
confidence: 99%
“…2 Once chronic left ventricular pseudoaneurysm occurs after surgical closure, percutaneous closure of left ventricular pseudoaneurysm has been reported. 1,3 The unique aspect of this report was the ability to successfully repair the late pseudo aneurysm with a transcatheter approach while at the same time performing valve-in-valve mitral replacement. In other situations, left ventricular apical perforation may occur or be recognized after transcatheter valvein-valve mitral replacement.…”
Section: Donald D Glower Mdmentioning
confidence: 97%
“…Dershowitz and colleauges 1 present a case of transcatheter repair of both an apical left ventricular pseudoaneurysm and bioprosthetic mitral structural valve dysfunction. The authors present this case to demonstrate the efficacy of the technique as a potential salvage for high-risk patients with mitral structural valve dysfunction and left ventricular pseudoaneurysm.…”
mentioning
confidence: 99%
“…If left untreated, LV PSAs have a poor prognosis. In this issue of the Journal , Dershowitz and colleagues 1 present an endovascular approach for managing a failed bioprosthetic mitral valve and an LV PSA. The authors present a successful case of concomitant valve-in-valve transcatheter mitral valve replacement (TMVR) and an LV apical PSA closure.…”
mentioning
confidence: 99%