Coil Embolization for Right Ventricular Pseudoaneurysm.

Background: Right ventricular pseudoaneurysms are extremely rare and there is no precise recommendation for their management.

Case Summary: We present the case of a successful coil embolization of a right ventricular pseudoaneurysm in a woman with chronic kidney disease due to perinuclear antineutrophil cytoplasmic antibody vasculitis and a history of difficult placement of a hemodialysis catheter.

Discussion: Ventricular pseudoaneurysm is a contained rupture of the ventricular wall that can occur due to several causes. Our case describes a right ventricular pseudoaneurysm after dialysis catheter placement in a patient with vasculitis. Optimal management strategies for pseudoaneurysms remain highly variable, but the primary goal is to reduce the incidence of cardiac rupture.

Take-home Message: The percutaneous exclusion of this type of lesion is an innovative technique that can be considered in high-risk surgical patients.