ABSTRACT
Background: Ascending aortic pseudoaneurysms (AAPs) are an unusual complication of cardiac or aortic surgery and are associated with a high risk of complications and mortality. Guidelines recommend surgical repair. There is few data concerning percutaneous occlusion of AAP. We present a case of syncope due to vascular and heart chamber compression by a large post-surgical AAP that was filled through a focal leak. Ascending aortic pseudoaneurysm was successfully occluded percutaneously. Case summary: A 66-year-old man with a mechanical aortic prosthesis and a Dacron tube in the ascending aorta presented with syncope due to compression of the right atrium and superior vena cava by a large peritube collection. A computed tomography angiography (CTA) showed a large AAP that was filled through a small focal dehiscence of the tube proximal suture. Patient was dismissed for surgery due to high surgical risk. Then, AAP was successfully occluded percutaneously via a 6-French radial access and local anaesthesia. Discussion: In patients with syncope and previous cardiac surgery, aortic complications should be ruled out. Although transthoracic echocardiography may be useful, CTA is the recommended diagnostic test for ruling out post-surgical AAP and allows the characterization of the number, localization, and size of the leaks. In selected patients with high surgical risk and favourable anatomic characteristics, a percutaneous closure could be indicated.
ABSTRACT
Percutaneous closure of atrial septal defect is recognised as a safe and effective procedure, however, in some patients complications may occur. Although chest pain has been sporadically reported, its exact aetiology has been poorly studied. Herein, a 14-year-old female with an atypical and long-lasting chest pain after percutaneous atrial septal defect closure is described.
Subject(s)
Heart Septal Defects, Atrial , Septal Occluder Device , Adolescent , Cardiac Catheterization/adverse effects , Chest Pain/diagnosis , Chest Pain/etiology , Female , Heart Septal Defects, Atrial/diagnosis , Heart Septal Defects, Atrial/surgery , Humans , Septal Occluder Device/adverse effects , Treatment OutcomeABSTRACT
A 4-year-old child of 10 kg weight, with four previous sternotomies, presented a severe right heart failure, due to a severe regurgitation of his bioprosthetic tricuspid valve. A percutaneous tricuspid valve in valve procedure with an Edwards S3 valve was offered for compassionate use, and performed, with no complications, and significant clinical condition improvement.
Subject(s)
Bioprosthesis , Heart Valve Prosthesis Implantation , Heart Valve Prosthesis , Tricuspid Valve Insufficiency , Bioprosthesis/adverse effects , Cardiac Catheterization , Child, Preschool , Heart Valve Prosthesis/adverse effects , Humans , Prosthesis Design , Prosthesis Failure , Treatment Outcome , Tricuspid Valve/diagnostic imaging , Tricuspid Valve/surgery , Tricuspid Valve Insufficiency/diagnosis , Tricuspid Valve Insufficiency/surgeryABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Infant, Newborn , Ductus Arteriosus/surgery , Heart Defects, Congenital/surgery , Stents , Heart-Assist Devices , Retrospective Studies , Treatment OutcomeABSTRACT
No disponible
Subject(s)
Humans , Male , Infant, Newborn , Arterial Occlusive Diseases/surgery , Stenosis, Pulmonary Artery/surgery , Stents , Arterial Occlusive Diseases/diagnosis , Pulmonary Atresia/complications , Cardiac Catheterization/methodsABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Vascular Calcification/surgery , Aortic Valve Stenosis/surgery , Mitral Valve Insufficiency/surgery , Heart Valve Prosthesis Implantation/methodsABSTRACT
We implanted two sinus Superflex DS© stents in a systemic non-stenotic arterial duct of a newborn with hypoplastic left heart syndrome. Forty-eight hours later an important collapse of the stent was detected and treated with a balloon expandable stent. Sinus Superflex DS© has been specifically designed for systemic ducts. This complication generates doubts about its radial force in this scenario.
Subject(s)
Ductus Arteriosus/surgery , Hypoplastic Left Heart Syndrome/surgery , Prosthesis Failure , Stents/adverse effects , Angiography , Cardiac Surgical Procedures/instrumentation , Humans , Infant, Newborn , Male , Pulmonary Artery/surgery , Treatment OutcomeABSTRACT
No disponible
