Anesthetic management of a percutaneous closure of left ventricular pseudoaneurysm after transapical transcatheter aortic valve implantation

Abstract

　We report a case of left ventricular pseudoaneurysm formation after transapical transcatheter aortic valve implantation (TA-TAVI) in which it was treated with a percutaneous closure. A 82-year-old man. He diagnosed left ventricular pseudoaneurysm after TA-TAVI. The risk of re-operation is very high because he underwent ascending aortic replacement previously. Therefore, a percutaneous closure using AMPLATZER^TM Vascular Plug Ⅱ was selected. It was performed uneventfully under general anesthesia. Transesophageal echocardiography is helpful for the evaluation of the pseudoaneurysm, guidewires and pericardial fluid.