Transapical closure of a pseudoaneurysm of the mitral-aortic intervalvular fibrosa

Vasilis C. Babaliaros, Stamatios Lerakis, Vinod H. Thourani, Sebastian Iturra, Gregory Hartlage, Farheen Shirazi, Stephen D. Clements

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare but serious sequela of endocarditis or valve replacement surgery. Because open-heart surgery is a high-risk treatment option, alternative methods are sought. We present the case of a 77-year-old man with a noninfected mechanical mitral valve whose pseudoaneurysm was repaired by introducing an occluder device into the defect by a transapical approach. Upon follow-up imaging, the defect was successfully closed. We conclude that percutaneous closure of pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a viable alternative to surgery and that a transapical approach is an appropriate method of access.

Original languageEnglish
Pages (from-to)285-288
Number of pages4
JournalTexas Heart Institute Journal
Volume42
Issue number3
DOIs
StatePublished - 11 Jun 2015
Externally publishedYes

Keywords

  • Aneurysm
  • Aortic root
  • Aortic valve
  • Cardiac catheterization
  • False/diagnosis/etiology/closure
  • Mitral valve
  • Percutaneous

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