Royal College of Surgeons in Ireland - Bahrain & Northern Lincolnshire and Goole NHS Trust UK.
Royal College of Surgeons in Ireland - Bahrain & Southport and Ormskirk NHS Trust UK.
Curr Probl Cardiol. 2023 Aug;48(8):101743. doi: 10.1016/j.cpcardiol.2023.101743. Epub 2023 Apr 20.
Left ventricular pseudoaneurysm is a well-known complication of myocardial infarction and open-heart surgery and has recently been described as succeeding transapical transcatheter aortic valve replacement. While surgical intervention is the conventional therapeutic approach, transcatheter closure can be considered in patients at high risk for surgical procedures. In this article, we present a postmyocardial infarction pseudoaneurysm for which closure was done via retrograde left ventricular access using an Amplatzer Septal Occluder, and provide a review of recent literature focusing on indications and outcomes of the different percutaneous techniques and devices.
左心室假性动脉瘤是心肌梗死和心脏直视手术的一种常见并发症，最近有研究报道经心尖途径行主动脉瓣置换术后也可并发左心室假性动脉瘤。虽然外科手术干预是传统的治疗方法，但对于高危外科手术的患者，经导管封堵术也可考虑。本文报道了 1 例心肌梗死后假性动脉瘤患者，通过逆行左心室入路使用 Amplatzer 房间隔封堵器进行了封堵，并回顾了近期文献，重点介绍了不同经皮技术和器械的适应证和结果。
