Canadian Journal of Cardiology
Case Report| Volume 37, ISSUE 8, P1283-1285, August 2021

Percutaneous Closure of a Giant Aortic Pseudoaneurysm Using Multimodality Imaging Guidance

Published:January 29, 2021DOI:


      Ascending aortic pseudoaneurysm is a rare, life-threatening complication of cardiac surgery. Surgical management is recommended, however, transcatheter techniques offer a less invasive alternative. We describe successful percutaneous closure, guided by using multimodality imaging, in a patient with high surgical risk.


      Le pseudo-anévrisme de l'aorte ascendante est une complication rare et potentiellement mortelle en chirurgie cardiaque. Une prise en charge chirurgicale est recommandée, toutefois, les techniques par cathéter offrent une alternative moins invasive. Nous décrivons ici une fermeture percutanée réussie, guidée par imagerie multimodale, chez un patient présentant un risque chirurgical élevé.
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      Linked Article

      • Barriers and Strategies for Early Mobilization in Acute Cardiovascular Disease
        Canadian Journal of CardiologyVol. 37Issue 8
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          We read with great interest the article by Semsar-Kazerooni et al., which discussed the importance of early mobilization in people with acute cardiovascular disease.1 This was a historical cohort study with no major confounding by indication and involved a large sample size. In addition, approximately 90% of the participants were on an early mobilization program, which was feasible, safe, and impressive. We have also reported that early mobilization in patients with acute heart failure reduced the rate of decline in activities of daily living by half the odds ratio.
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      • Reply to Tsuge et al.—Early Mobilization in People With Acute Cardiovascular Disease
        Canadian Journal of CardiologyVol. 37Issue 8
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          We thank Tsuge and colleagues for their interest in our study and for their contribution to understanding the role of early mobilization in acute cardiac care.1 The emerging evidence for early mobilization in the acute cardiac setting is promising. However, the current evidence base, including our current study, is mainly observational or retrospective in nature and is thus subject to the corresponding biases.2 To address potential biases in our study, we included consecutive admissions to the cardiac intensive care unit, compared consecutive time periods (pre- and postintervention), and adjusted for potential confounders, including admission for heart failure.
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