A Novel Interventional Approach to LV Pseudoaneurysm Compressing on LAD by Utilizing LAA Closure Device

Michael Khorsandi, MD; Hassan Khan, MD; Gerald Colern, ANP; Rosemary Hansen, DNP; Soraya Arzhan, MD; Hashmat Ashraf, MD; Lawrence D. Jacobs, MD; Scott M. Katzen, MD; Adnan H. Siddiqui, MD, PhD; Vijay Iyer, MD, PhD

JACC: Case Reports (Dec 2022)

A Novel Interventional Approach to LV Pseudoaneurysm Compressing on LAD by Utilizing LAA Closure Device

Michael Khorsandi, MD,
Hassan Khan, MD,
Gerald Colern, ANP,
Rosemary Hansen, DNP,
Soraya Arzhan, MD,
Hashmat Ashraf, MD,
Lawrence D. Jacobs, MD,
Scott M. Katzen, MD,
Adnan H. Siddiqui, MD, PhD,
Vijay Iyer, MD, PhD

Affiliations

Michael Khorsandi, MD: Division of Cardiology, Department of Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, Maryland, USA; Address for correspondence: Dr Michael Khorsandi, Department of Internal Medicine, Luminis Health Anne Arundel Medical Center, 2001 Medical Parkway, Annapolis, Maryland, 21401, USA.
Hassan Khan, MD: Division of Cardiology, Department of Internal Medicine, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, Gates Vascular Institute, Buffalo, New York, USA
Gerald Colern, ANP: Division of Cardiology, Department of Internal Medicine, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, Gates Vascular Institute, Buffalo, New York, USA
Rosemary Hansen, DNP: Division of Cardiology, Department of Internal Medicine, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, Gates Vascular Institute, Buffalo, New York, USA
Soraya Arzhan, MD: Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, Illinois, USA
Hashmat Ashraf, MD: Department of Cardiothoracic Surgery at Kaleida Health, Buffalo General Hospital, Children’s Hospital of Buffalo, Buffalo, New York, USA
Lawrence D. Jacobs, MD: Division of Cardiology, Department of Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, Maryland, USA
Scott M. Katzen, MD: Division of Cardiology, Department of Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, Maryland, USA
Adnan H. Siddiqui, MD, PhD: Department of Neurosurgery, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
Vijay Iyer, MD, PhD: Department of Neurosurgery, University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA

Journal volume & issue: Vol. 4, no. 24
p. 101683

Abstract

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We describe the novel transcatheter approach, with off-label application of LAA closure device, coiling, and concurrent left anterior descending stenting in the setting of left ventricular (LV) pseudoaneurysm. This case underlines collaboration among interventional cardiology, cardiothoracic, and neurosurgery teams in a challenging, nonsurgical candidate with high risk of LV pseudoaneurysm rupture, and death. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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