IMAGE CARDIO MED: Percutaneous closure of a left ventricular outflow tract pseudoaneurysm causing extrinsic left coronary artery compression by transseptal approach.

Abstract

A 44-year-old man underwent aortic valve replacement with a porcine bioprosthesis 21 years ago for infective endocarditis complicated by a cerebral mycotic aneurysm and intracranial bleeding. Nine years ago, he had a second aortic valve replacement with a mechanical bileaflet tilting-disk prosthesis because of porcine prosthesis degeneration. No pseudoaneurysm was noted on the operative report. Six months ago, he developed angina and had a positive stress test for ischemia. Angiography showed severe left main coronary artery (LM) stenosis, which was treated with intravascular ultrasound– guided percutaneous coronary intervention with a zotarolimus-eluting stent. Two months ago, he again developed angina. Follow-up angiography and intravascular ultrasound revealed severe

DOI: 10.1161/CIR.0b013e3181cf2fe2

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@article{Romaguera2010IMAGECM, title={IMAGE CARDIO MED: Percutaneous closure of a left ventricular outflow tract pseudoaneurysm causing extrinsic left coronary artery compression by transseptal approach.}, author={Rafael Romaguera and Michael C. Slack and Ron Waksman and Itsik Ben-Dor and Lowell F Satler and Kenneth M. Kent and Steven A . Goldstein and Zheng Wang and Philip Corso and Norberto O Bernardo and William O . Suddath and Augusto D . Pichard}, journal={Circulation}, year={2010}, volume={121 4}, pages={e20-2} }