Percutaneous closure of a large peri-prosthetic left ventricular pseudoaneurysm in a high-risk surgical candidate

A 71-year-old woman presented with increasingly severe congestive cardiac failure 6 months after dual aortic/mitral bioprosthetic valve replacement for severe rheumatic valvular heart disease. Echocardiography showed the presence of a large (7.6×3.6×7.0 cm) left ventricular pseudoaneurysm (LVPA) originating from a 1.1 cm lateral free-wall disruption adjacent to the mitral prosthesis (fig 1, panels A and C). Given the risk of …