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Case report
Percutaneous device closure of a large complex aortic root pseudoaneurysm
  1. Patrick Tran1,
  2. Jamal Nasir Khan1,
  3. David Hildick-Smith2 and
  4. Martin Been1
  1. 1Cardiology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
  2. 2Cardiology, Royal Sussex County Hospital, Brighton, Brighton and Hove, UK
  1. Correspondence to Dr Patrick Tran; PATRICK.TRAN{at}NHS.NET

Abstract

Pseudoaneurysm of the aorta is a rare and high-risk complication of native aortic valve endocarditis and can develop following cardiac surgery for aortic valve and root disease. If left untreated, there is a significant risk of aortic wall rupture and fatality. Given the high risk of mortality associated with traditional open surgical repair of aortic pseudoaneurysms, endovascular approach is a potentially favourable alternative. We describe a unique case of a young woman with a large and complex paraprosthetic pseudoaneurysm with multiple communicating fistulae which was successfully percutaneously treated with two occluder devices. In this technically challenging case, a minor but unique procedural complication is also illustrated.

  • interventional cardiology
  • surgical diagnostic tests

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Footnotes

  • Contributors PT and JNK have been involved in collecting the data, images and videos, drafting the manuscript. JNK and MB have reviewed the manuscript and figures and made adjustments and finalised the submission. MB and DH-S were involved in patients’ management.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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