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Case Reports
. 2020 Mar 8:3:126-129.
doi: 10.1016/j.xjtc.2020.02.019. eCollection 2020 Sep.

Left ventricular injury: Beware the wire

Lyle Dershowitz  1 , Mariusz Wolbinski  2 , Vinayak Bapat  2 , Isaac George  2 , Susheel Kodali  3
Affiliations
Case Reports

Left ventricular injury: Beware the wire

Lyle Dershowitz et al. JTCVS Tech. .
No abstract available

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Figures

None
Computed tomography upon the patient's presentation to our institution reveals an LV pseudoaneurysm secondary to wire perforation after failed transcatheter mitral valve-in-valve.
Figure 1
Figure 1
Preprocedural computed tomography (CT) demonstrating LV apical aneurysm. A and B, CT reveals an LV pseudoaneurysm arising from the apex with a 0.4-cm narrow neck abutting the right ventricle. C, A virtual valve is placed in the mitral position for analysis of LV outflow tract obstruction demonstrating adequate clearance.
Figure 2
Figure 2
CT imaging at 1 month follow-up reveals successful LV pseudoaneurysm closure using an Amplatzer (Abbott, Minneapolis, Minn) atrial septal device and mitral valve-in-valve (A, B). CT confirms closure of LV pseudoaneurysm. C, Edwards Sapien 3 (Edwards Lifesciences, Irvine, Calif) transcatheter valve-in-valve with good position in the prior surgical mitral valve.
See this image and copyright information in PMC

References

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