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Delayed Iatrogenic LV Apex Perforation Sealed With an Amplatzer Septal Occluder Under TTE Guidance

J.M. Montero-Cabezas, MD;  V. Delgado, MD, PhD;  F. van der Kley, MD

12/01/2021

Introduction

Video supplement to ”Delayed Iatrogenic Left Ventricular Apex Perforation Sealed With an Amplatzer Septal Occluder Device Under Transthoracic Echocardiography Guidance,” by Montero-Cabezas, et al. (December 2021 Clinical Images).

High rates of spontaneous rupture and death have been described when the pseudoaneurysm is left untreated. Percutaneous closure has emerged as an alternative to surgery in patients with unacceptable surgical risk. In this case, transthoracic echocardiography allowed optimal characterization of the defect and successful procedure guidance, avoiding risks derived from more invasive intraprocedural imaging techniques.

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