Percutaneous occlusion for left ventricular pseudoaneurysm after surgical repair of congenital heart disease:a case report
10.3969/j.issn.1004-8812.2024.09.008
- VernacularTitle:经皮封堵治疗先天性心脏病术后新发左心室假性室壁瘤1例
- Author:
Gui-Dong LIU
1
;
Chao-Jun DU
;
Hong-Xin LI
Author Information
1. 安徽省儿童医院儿童心血管外科,安徽合肥 230022
- Keywords:
Percutaneous occlusion;
Left ventricular pseudoaneurysm;
Congenital heart disease;
Postoperative complications
- From:
Chinese Journal of Interventional Cardiology
2024;32(9):535-537
- CountryChina
- Language:Chinese
-
Abstract:
Pseudoaneurysm is a rare yet potentially life-threatening condition,typically arising as a complication of myocardial infarction,cardiac surgery,trauma,or infection.The incidence of postoperative pseudoaneurysms in congenital heart disease patients is exceedingly low.Traditional surgical intervention involves excising the pseudoaneurysm and repairing its base;however,this approach entails significant surgical trauma and elevated risk.This case report details the diagnosis of a left ventricular pseudoaneurysm(LVPA)in a 6-month-and-10-day-old child following corrective surgery for congenital heart disease.At 7 weeks of age,the patient underwent repair for ventricular septal defect,atrial septal defect,and pulmonary valve dilation.A LVPA was identified three months postoperatively.Four months after the initial procedure,successful percutaneous closure of the pseudoaneurysm was achieved via transfemoral access under transthoracic echocardiographic guidance.Postoperative follow-up confirmed optimal positioning of the occluder and satisfactory recovery in the child.This case underscores the efficacy and minimal invasiveness associated with ultrasound-guided percutaneous closure for newly developed LVPA in pediatric patients.
