Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention.

Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention. Research Abstract Details 

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Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention. Abstract Text:

Ralf Thorsten Hoffmann,Konstantin Nikolaou,Peter Boekstegers,Bruno Reichart,Maximilian F Reiser,Ralf Thorsten Hoffmann,Konstantin Nikolaou,Peter Boekstegers,Bruno Reichart,Maximilian F Reiser,

Ventricular free wall rupture remains the most serious complication after acute myocardial infarction. In early-recognized, subacute cases a surgical intervention using patches can be lifesaving. However, in the rare case of postoperative patch leakage, a relapse of a pseudoaneurysm may occur. This is the first case in the literature--to the best of our knowledge--describing a minimally invasive strategy using CT fluoroscopic guidance to perform an injection of thrombin into the perfused pseudoaneurysm to seal a leakage. This therapeutical regimen was chosen--in accordance with cardiac surgeons, cardiologists, and interventional radiologists--due to the high risk of adverse event after repeated surgery in this particular patient. The follow-up images showed complete occlusion of the pseudoaneurysm after the thrombin injection. This approach could be discussed in a multidisciplinary setting in similar cases, especially due to the described negligible recurrence rate after successful initial thrombosis after treating femoral pseudoaneurysms, pseudoaneurysms of the pancreatic artery, or even endoleaks after stenting of aneurysms of the aorta.

Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention. Publishing Authors By Initials

RT Hoffmann,K Nikolaou,P Boekstegers,B Reichart,MF Reiser,RT Hoffmann,K Nikolaou,P Boekstegers,B Reichart,MF Reiser,

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Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Cardiovascular and interventional radiology

VOLUME: 30

Page Numbers: 1010-2

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ISSN: 0174-1551

DAY: 29

MONTH: 05

YEAR: 2007

Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention.

AFFILIATION: Department of Clinical Radiology, Ludwig-Maximilians-University, Grosshadern Campus, Marchioninistrasse 15, 81377 Munich, Germany. ralf-thorsten.hoffmann@med.uni-muenchen.de

Country: United States

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MEDLINETA: Cardiovasc Intervent Radiol

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