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  • Title: Transapical closure of a pseudoaneurysm of the mitral-aortic intervalvular fibrosa.
    Author: Babaliaros VC, Lerakis S, Thourani VH, Iturra S, Hartlage G, Shirazi F, Clements SD.
    Journal: Tex Heart Inst J; 2015 Jun; 42(3):285-8. PubMed ID: 26175650.
    Abstract:
    Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare but serious sequela of endocarditis or valve replacement surgery. Because open-heart surgery is a high-risk treatment option, alternative methods are sought. We present the case of a 77-year-old man with a noninfected mechanical mitral valve whose pseudoaneurysm was repaired by introducing an occluder device into the defect by a transapical approach. Upon follow-up imaging, the defect was successfully closed. We conclude that percutaneous closure of pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a viable alternative to surgery and that a transapical approach is an appropriate method of access.
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