%0 Journal Article %A Patrick Tran %A Jamal Nasir Khan %A David Hildick-Smith %A Martin Been %T Percutaneous device closure of a large complex aortic root pseudoaneurysm %D 2020 %R 10.1136/bcr-2020-235545 %J BMJ Case Reports %P e235545 %V 13 %N 9 %X 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. %U https://casereports.bmj.com/content/bmjcr/13/9/e235545.full.pdf