Anesthetic management of a percutaneous closure of left ventricular pseudoaneurysm after transapical transcatheter aortic valve implantation

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  • Kazawa Masahiro
    National Cerebral and Cardiovascular Center Department of Anesthesiology
  • Kanazawa Hiroko
    National Cerebral and Cardiovascular Center Department of Anesthesiology
  • Shimahara Yusuke
    National Cerebral and Cardiovascular Center Department of Cardiac Surgery
  • Fujita Tomoyuki
    National Cerebral and Cardiovascular Center Department of Cardiac Surgery
  • Kobayashi Junjiro
    National Cerebral and Cardiovascular Center Department of Cardiac Surgery
  • Onishi Yoshihiko
    National Cerebral and Cardiovascular Center Department of Anesthesiology

Bibliographic Information

Other Title
  • 経カテーテル大動脈弁留置術（心尖部アプローチ）後に発症した左室仮性瘤を経カテーテル的に治療した症例の麻酔経験
  • 症例報告 経カテーテル大動脈弁留置術(心尖部アプローチ)後に発症した左室仮性瘤を経カテーテル的に治療した症例の麻酔経験
  • ショウレイ ホウコク ケイ カテーテル ダイドウミャクベン リュウチジュツ(シン センブ アプローチ)アト ニ ハッショウ シタ サシツ カセイリュウ オ ケイ カテーテルテキ ニ チリョウ シタ ショウレイ ノ マスイ ケイケン

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Abstract

<p>　We report a case of left ventricular pseudoaneurysm formation after transapical transcatheter aortic valve implantation (TA-TAVI) in which it was treated with a percutaneous closure. A 82-year-old man. He diagnosed left ventricular pseudoaneurysm after TA-TAVI. The risk of re-operation is very high because he underwent ascending aortic replacement previously. Therefore, a percutaneous closure using AMPLATZERTM Vascular Plug Ⅱ was selected. It was performed uneventfully under general anesthesia. Transesophageal echocardiography is helpful for the evaluation of the pseudoaneurysm, guidewires and pericardial fluid.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 24 (1), 61-65, 2020-08-01

    Japanese Society of Cardiovascular Anesthesiologists

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