Percutaneous Closure of Iatrogenic Ascending Aortic Pseudoaneurysms Following Surgical Aortic Repair

Julia Stehli; Fanny S Alie-Cusson; Jean M Panneton; Paul D Mahoney

doi:10.1016/j.jaccas.2020.11.007

Percutaneous Closure of Iatrogenic Ascending Aortic Pseudoaneurysms Following Surgical Aortic Repair

JACC Case Rep. 2021 Feb 17;3(2):327-333. doi: 10.1016/j.jaccas.2020.11.007. eCollection 2021 Feb.

Authors

Julia Stehli¹, Fanny S Alie-Cusson², Jean M Panneton², Paul D Mahoney¹

Affiliations

¹ The Sentara Heart Valve and Structural Disease Center, Sentara, Norfolk, Virginia, USA.
² Division of Vascular Surgery, Sentara Aortic Center, Eastern Virginia Medical School, Norfolk, Virginia, USA.

Abstract

We present a case series of 4 iatrogenic ascending aortic pseudoaneurysms that were all successfully repaired with a percutaneous approach. Pre-procedural imaging, device selection, and procedural techniques are described. With careful preparation and patient selection, catheter closure of iatrogenic ascending aortic pseudoaneurysms can be performed reliably and safely. (Level of Difficulty: Advanced.).

Keywords: AAG, ascending aortic graft; AES, Amplatz extra stiff wire; ASO, Amplatzer septal occluder; BMW, Balance Middle Weight wire; CTA, computed tomography angiogram; IAAP, iatrogenic ascending aortic pseudoaneurysm; MP, multipurpose catheter; RCA, right coronary artery; SVG, saphenous vein graft; TEE, transesophageal echocardiogram; TEVAR, thoracic endovascular aortic repair; aorta; complication; computed tomography; echocardiography; imaging; occluder; treatment; ultrasound.

Publication types

Case Reports