Hemolytic hyperbilirubinemia after percutaneous device closure of left ventricular pseudoaneurysm: A disregarded complication

Meng-Ta Tsai, Cheng Che Tseng, Chung-Dann Kan

Research output: Contribution to journalArticle

Abstract

Surgical repair of a left ventricular pseudoaneurysm is challenging. Percutaneous closure with an AMPLATZER Septal Occluder (AGA Medical Corporation, Golden Valley, MN) has evolved to be an effective alternative to conventional surgery with less complication. We report a case of severe hemolytic hyperbilirubinemia and acute renal failure after percutaneous left ventricular pseudoaneurysm endoprothesis repair, which required conventional surgical repair through a left thoracotomy to treat this complication. The rationale and results of such an off-the-label usage of AMPLATZER Septal Occluder were reexamined. Residual leakages were not rare findings in the reviewed literature. The indications for this approach should be individualized.

Original languageEnglish
Pages (from-to)707-709
Number of pages3
JournalAnnals of Thoracic Surgery
Volume95
Issue number2
DOIs
Publication statusPublished - 2013 Feb 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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