TY - JOUR
T1 - Hemolytic hyperbilirubinemia after percutaneous device closure of left ventricular pseudoaneurysm
T2 - A disregarded complication
AU - Tsai, Meng-Ta
AU - Tseng, Cheng Che
AU - Kan, Chung-Dann
PY - 2013/2/1
Y1 - 2013/2/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.athoracsur.2012.06.020
DO - 10.1016/j.athoracsur.2012.06.020
M3 - Article
C2 - 23336887
AN - SCOPUS:84872794955
VL - 95
SP - 707
EP - 709
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 2
ER -