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In this case report, we describe direct percutaneous delivery of a muscular-ventricular-septal-defect occluder device to close a left ventricular pseudoaneurysm. The occluder was positioned and deployed with the aid of concurrent transthoracic ultrasonography, transesophageal echocardiography, and fluoroscopy. In contrast with previously published reports, we describe and illustrate a direct transthoracic route across the pseudoaneurysmal sac, which obviated the need for indirect transfemoral or transapical approaches.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567105 | PMC |
| http://dx.doi.org/10.14503/THIJ-14-4243 | DOI Listing |
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