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Paravalvular pseudoaneurysm post-TAVR

Imaging findings

Gated CT scan of a 69-year-old male shows a paravalvular pseudoaneurysm arising from the left ventricular outflow tract inferior to the left coronary cusp, mimicking a left atrial appendage.

Key takeaways

Paravalvular pseudoaneurysms can develop post-TAVR due to infective endocarditis or mechanical injury to the aortic annulus. They can track into the subvalvular space and mimic normal structures like the left atrial appendage.

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