Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
Catheter Cardiovasc Interv. 2019 Nov 15;94(6):859-862. doi: 10.1002/ccd.28154. Epub 2019 Feb 21.
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.
左心室假性动脉瘤是心脏手术后一种罕见但潜在致命的并发症，自发性破裂是最可怕的后果。此外，手术修复与显著的发病率和死亡率相关。我们成功地利用 Amplatz Vascular Plug-II（AVP-II）（圣犹达医疗公司，明尼苏达州圣保罗）经皮经心尖途径闭合了手术后迅速扩张的左心室流出道（LVOT）假性动脉瘤，该手术借助 3D 打印技术进行了术前规划。
