Your browser doesn't support javascript.
loading
Direct percutaneous transaortic approach for treatment of aortic pseudoaneurysms.
Pirelli, Luigi; Kliger, Chad; Fontana, Gregory P; Ruiz, Carlos E.
Afiliación
  • Pirelli L; Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA.
  • Kliger C; Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA.
  • Fontana GP; Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA.
  • Ruiz CE; Lenox Hill Heart and Vascular Institute of New York, New York, NY, USA cruiz@nshs.edu.
Interact Cardiovasc Thorac Surg ; 20(5): 680-1, 2015 May.
Article en En | MEDLINE | ID: mdl-25712986
Aortic pseudoaneurysms (APAs) can develop months or years after aortic and cardiac surgery. If not treated appropriately, APAs can lead to fatal complications and ultimately death. We describe a case of a 61-year old patient with a diagnosed large pseudoaneurysm 5 years after his aortic valve surgery, who was treated with a novel transcatheter direct transaortic approach. The patient had dilated cardiomyopathy with an APA adjacent to the lower sternal plate. An Amplatzer septal occlusion device followed by coils was delivered transcutaneously through the APA to close its neck and fill the false aneurysm, respectively. Triple fusion multimodality imaging was used to guide the placement of the occlusion devices. The merging of computed tomography (CT) and echocardiography with real-time fluoroscopy was fundamental in procedural planning and guidance. Post-procedural transoesophageal echocardiogram (TOE) and CT angiography showed complete exclusion of the APA. A direct transaortic approach is a valid option for closure of an APA if the surgical risk is prohibitive, and the use of triple fusion technology is an essential tool in the hands of interventionalists and surgeons for preoperative planning and conduction of these procedures.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aorta Torácica / Angioplastia / Aneurisma Falso / Imagenología Tridimensional Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Interact Cardiovasc Thorac Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aorta Torácica / Angioplastia / Aneurisma Falso / Imagenología Tridimensional Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Interact Cardiovasc Thorac Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido