ArticleCureus2025
Transcatheter Closure of an Ascending Aortic Pseudoaneurysm Guided by Intracardiac Echocardiography.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A 60-year-old man with a history of multiple cardiac surgeries presented with exertional dyspnea. CT revealed a 20 × 10 mm ascending aortic pseudoaneurysm with a neck diameter of 7 mm, located near the suture line of a previous aortic root replacement, compressing a saphenous vein graft (SVG). Given the high risk of reoperation, percutaneous catheter closure with a 9/12 mm Amplatzer Vascular Plug II (AVP II) was performed alongside drug-eluting stent (4.0 × 18 mm) implantation to address SVG stenosis. Intraoperative intracardiac echocardiography (ICE) was essential for guiding AVP II deployment and ensuring accurate placement. This case highlights the effectiveness and safety of ICE-guided percutaneous interventions in managing complex aortic pathologies in high-risk patients. Successful closure of the pseudoaneurysm and resolution of the SVG compression demonstrated the feasibility of this minimally invasive approach in patients with complex surgical histories.
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