Minimally invasive repair of left ventricular pseudoaneurysm after transapical transcatheter aortic valve replacement

Basel Ramlawi, Walid K.Abu Saleh, Odeaa Al Jabbari, Colin M. Barker, Neal S. Kleiman, Michael J. Reardon

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Transcatheter aortic valve replacement is becoming a routine procedure to treat severe symptomatic aortic stenosis. At most transcatheter aortic valve replacement centers, transapical access is a frequent alternative for use in patients whose ileofemoral access is inadequate. Transapical access is increasingly applied to a variety of other structural heart and aortic procedures as well. There is a caveat, however. When performed in elderly patients with friable myocardium, transapical access is associated with such serious sequelae as bleeding and left ventricular apical pseudoaneurysmal formation. Here, we describe the case of a 70-year-old woman who developed a left ventricular apical pseudoaneurysm 3 weeks after transapical transcatheter aortic valve replacement. Our successful repair took a minimally invasive left lateral approach that involved peripheral cardiopulmonary bypass cannulation, Foley catheter occlusion and primary defect closure, and BioGlue reinforcement.

Original languageEnglish (US)
Pages (from-to)75-77
Number of pages3
JournalTexas Heart Institute Journal
Volume43
Issue number1
DOIs
StatePublished - Feb 2016

Keywords

  • Left ventricular apex
  • Minimally invasive surgical procedures/methods
  • Postoperative complications
  • Pseudoaneurysm
  • TAVR
  • Transapical

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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